Withdrawal Form 2025-2026

Student Withdrawal Form

Timberlake Christian School
Please complete for the student to be withdrawn. The withdrawal policy and deadlines are listed below. A withdrawal form must be submitted for EACH student being withdrawn.
Parent/Guardian Name

First NameLast Name
Parent/Guardian Email
example@example.com
Student Name

First NameLast Name
Student's 2025-2026 Grade Level
Last Day of Attendance

MonthDayYear
Date
FinancialRelocationPublic SchoolAnother Christian SchoolHealth ReasonsOther
WITHDRAWAL POLICY:
- Families may opt out of continuous enrollment by submitting an official withdrawal form on or before December 20 with no continuous enrollment fee owed for the upcoming or subsequent year.
- If not withdrawn before December 31, the continuous enrollment fee of $100 will be assessed during the first week of January and is non-refundable.
- After January 1 through March 1: a $250 administrative fee and no tuition is owed.
- March 1 through May 31: $500 administrative fee and no tuition is owed.
- June 1 to July 31: $1,000 administrative fee and no tuition owed.
- August 1 to the day BEFORE school starts: $1,500 administrative fee and no tuition is owed.
- After the start of school: 30% of the remaining tuition due (based on days remaining in the school year).
- No records will be released until withdrawal fees are paid.
In withdrawing my student, I understand that I am responsible for all financial obligations stated above. I further understand that academic records and/or transcripts cannot be released until all outstanding obligations are met.
Parent Signature*
Date

MonthDayYear
Date
Should be Empty:

Student Withdrawal Form