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2025-2026 CLHS Student Withdrawal Form

Please complete the form below. Required fields marked with an asterisk *

Please complete the form below to notify administration that your student(s) will not be attending Concordia for the 2025-2026 school year. If you have more than one student that will not be returning next year, please complete the form for each student individually. This form must be completed by Feb. 15, 2025 or your account will be billed for 2025-2026 school year registration, which is non-refundable.

If you would like to discuss your situation with administration, you may contact the appropriate party directly or email [email protected] To better assist you, we ask that you have those conversations before completing this form.

Student First Name*

Answer required for "Student First Name"

Student Last Name*

Answer required for "Student Last Name"

Parent/Guardian First and Last Name*

Answer required for "Parent/Guardian First and Last Name"

Parent/Guardian Email Address*

Answer required for "Parent/Guardian Email Address"

Parent/Guardian Phone Number*

Number Required

Reason(s) for Withdrawal*

(Please disclose any and all information influencing this decision)

Answer required for "Reason(s) for Withdrawal"

1. I understand that by completing this withdrawal form, my student will be removed from the roster for the 2025-2026 school year.*

Answer required for "1. I understand that by completing this withdrawal form, my student will be removed from the roster for the 2025-2026 school year."

Yes, I understand.

2. I understand that if I later decide to enroll my student for the 2025-2026 school year, I must go through the application process like a new student and my spot is not guaranteed. *

Answer required for "2. I understand that if I later decide to enroll my student for the 2025-2026 school year, I must go through the application process like a new student and my spot is not guaranteed. "

Yes, I understand.

3. I understand that I will be contacted at the close of the school year with final withdrawal steps. This will include return of all checked out school property and final billing. All school records will be held until final withdrawal steps are complete.*

Answer required for "3. I understand that I will be contacted at the close of the school year with final withdrawal steps. This will include return of all checked out school property and final billing. All school records will be held until final withdrawal steps are complete."

Yes, I understand.

Parent/Guardian Signature*

Signature Required

Confirmation Email

Confirmation Email *

Answer required for "Confirmation Email"