Withdrawal of RCS Student

Withdrawal of RCS Student

Release and Transfer
Student Name *

First NameLast Name
Student's DOB*

MonthDayYear
Date
Parent Email
example@example.com
RCS Enrollment Date

MonthDayYear
Date
Grade Entered*
Current Teacher*
Current Grade*
Withdrawal Date*

MonthDayYear
Date
Reason for Withdrawal*
Home address after withdrawal

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
New School
Any Additional Notes:
I understand that if I am withdrawing after June, I am required to pay the non-refundable July payment in addition to any tuition, BASC, or other misc. charges that my student has incurred. I understand that tuition is calculated through the end of the last month my child attended Renton Christian School.
Signature of Parent on Guardian*

Clear
Should be Empty: