Withdrawal Form

2013-14 Withdrawal Form

Please complete one form for each child you would like to withdraw/remove from the priority list or future lottery.

Student Information
Student Name*
FirstLast
2013-14 Grade Level*
Birth Date*
MM
DD
YYYY
Parent/Guardian Information
Parent/Guardian Name*
FirstLast
Email*
Withdrawal reason(s)*
- Moving out of state
- Travel distance to school
- Limited transportation/busing options
- Dissatisfied with academic program
- Dissatisfied with faculty/staff
- Dissatisfied with administration
- Other (see comment box below)
Optional Comment(s)
Acceptance
- I understand that once a student is withdrawn, they are removed from our records and would need to complete the "intent to enroll" form again should they change their mind subsequent to the withdrawal.
Signature*

Our Mission

The Weilenmann School of Discovery welcomes all students and promotes engaged, active and effective learning that will prepare them for the 21st century by:

Hiring and developing Master Teachers who design and enact inquiry-based instruction that exceeds core standards,

Integrating technologies, media, science, visual and performing arts into the core curriculum,

Utilizing the awe and wonder of nature to enhance the educational experience and

Systematically and rigorously assessing performance of students and teachers with respect to achievement of these goals.

Weilenmann School of Discovery

Withdrawal Form

2013-14 Withdrawal Form

Student Information

Parent/Guardian Information

Acceptance

Enrollment

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Weilenmann School of Discovery

Our Mission