Notice of Intention to Leave

Notice of Intention to Leave

Use this form to officially cancel an enrolment at Bethania Lutheran School. A member of our team will contact you upon receipt of the completed form.
Parent/ Caregiver Name*

First NameLast Name
Student Name*

First NameLast Name
Current Year Level*
Another student?

YesNo
Student Name*

First NameLast Name
Current Year Level*
Date of Leaving*

DayMonthYear
Please select the students last day of enrolment.
What is the PRIMARY reason for leaving? You may only select one option*

RelocationFinancialStudent Wellbeing/HealthBehaviour/Pastoral CareStudent RelationshipsTeacher/StaffCurriculum OfferingAcademic Results/RigourTransport OptionsFacilitiesOther
Please select additional reasons for leaving? You may select multiple options*

RelocationFinancialStudent Wellbeing/HealthBehaviour/Pastoral CareStudent RelationshipsTeacher/StaffCurriculum OfferingAcademic Results/RigourTransport OptionsFacilitiesOther
Please provide any further information regarding your decision to leave:
Which school will the student/s be attending?*
How long has it taken you to reach this decision?*

DaysWeeksMonthsA termOther
I acknowledge that, as per the enrolment contract, if a full school term’s notice is not provided, one term’s fees will be payable in lieu of notice.*

Yes
How would you rate your overall experience at Bethania Lutheran School?*
Should be Empty: