BH Withdrawal Form

Withdrawal Form

This form is to be submitted to Brook Hill to notify administration that your student will not be returning to Brook Hill for the following school year.
Parent Information
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Student Information
Name(s) *

First NameLast Name
Grade of Student(s)*
Reason for leaving:*

Relocation from East TexasFinancialAcademicAthletics/Extra-curricularsOther (please explain below)
Additional Comments concerning your Reason for Leaving: *
Where will your student(s) be attending school next year?*
When will be your student(s) last day at Brook Hill?*

MonthDayYear
Date
Have you had or scheduled your exit interview with your campus principal or other Brook Hill leadership or administrator?*

YesNo
Withdrawal Acknowledgements:
- I/we understand that tuition is a full-year financial obligation that becomes binding after March 1 for the upcoming academic year and remains due in full, regardless of any mid-year withdrawal or change in enrollment status, unless other arrangements have been approved in writing by the Business Office and are in accordance with the qualifying provisions outlined in the Enrollment Contract.
- I acknowledge that by submitting this form AFTER March 1st, late withdrawal fees will be applied to my billing account.
- By submitting this withdrawal form, I acknowledge that Brook Hill maintains waitlists for most grade levels. I understand that upon submission, I may forfeit my secured seat at Brook Hill.
- I/we further understand that access to student records—including grades, testing results, transcripts, and portal access—will be released once the account balance has been paid in full.
By signing below, I acknowledge that I have read, understand, and agree to all acknowledgements listed above.

Clear
Should be Empty:

Withdrawal Form

Parent Information

Student Information