Online Notice of Withdrawal

INSTRUCTIONS

Although we never want to see a student leave, we understand that circumstances change for a few families each year. If this is the case with your family and you do not plan to return to SCA next year, please complete our Online Notice of Withdrawal below. This required form provides written notification to Southeastern Christian Academy that your child(ren) will not be returning next school year.

Parent/Guardian Name:

First NameLast Name

Parent/Guardian Email:

example@example.com

Phone Number

Please enter a valid phone number.

Student(s) Withdrawing*

	Student Name	Date of Birth	Current Grade	Date of Withdrawal
Student 1
Student 2
Student 3
Student 4

What is the primary reason you are withdrawing from SCA?

Other

Have you discussed your reason to withdrawal with your school principal?

What school will your student(s) attend next year?

Acknowledgment of Understanding

I certify that I represent all legal decision-making parties for our child(ren) and that all parties are in agreement about the decision to withdraw from Southeastern Christian Academy. I understand that by submitting the Online Notice of Withdrawal, I am ending my child's enrollment at SCA effective at the end of the current school year or by the date indicated above. I understand that my child's spot will be released and made available to new applicants. I understand that should I choose to enroll at Southeastern Christian Academy again, may be required to re-apply using SCA's new student application and submit the required payment online via credit card. I understand that my child may be required to follow all the formal steps of the (1) new student application process, (2) academic documents review, (3) recommendations review, and (4) the principal interview. I understand that must submit the Online Notice of Withdrawal by January 15th to avoid being charged the nonrefundable Enrollment Fee.

Guardian's Signature

Date