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St. Francis Episcopal Church
St. Francis Episcopal Church
Multipurpose Room
Multipurpose Room

Non-Enrollment/Notice of Withdrawal Form


The intent of this form is to capture the necessary information for withdrawal of your student from St. Francis Episcopal School.
Guardian - please fill out the required information below, and provide an email address at the end to receive a receipt confirmation of submission. We do ask that you fill out a separate form for each student that you wish to withdraw.
Student First Namerequired
Student Middle Name
Student Last Namerequired
Current Graderequired
Effective Daterequired
Reason for Withdrawing Above Studentrequired
Next Schoolrequired
If Public ISD, which school?required
Other School Namerequired
Is there anything else you would like to share with us?
Guardian relationship to the student:required


Sign and Agree (Guardian):required
Enter full name as digital signature.

By my signature, I hereby give authority to the designated personnel of the St. Francis Episcopal School to begin all processes involving withdrawal of the student listed on this form. This authorization includes the intent to carry forward the terms of your studen contract and finalize academic records for the educational institution in which my child is enrolled.

Guardian Email Address:required