Withdrawal Form 2026-2027

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Please complete for the student to be withdrawn.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 A withdrawal form must be submitted for EACH student being withdrawn.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 2026-2027 Grade Level*
Last Day of Attendance*

MonthDayYear
Date
Reason for Withdrawal*

FinancialRelocationPublic SchoolAnother Christian SchoolHealth ReasonsOther
If other, please provide details below:
WITHDRAWAL POLICY:
- Families may opt out of continuous enrollment by submitting an official withdrawal form on or before December 31, 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- If not withdrawn before December 31, the continuous enrollment fee of $100 will be assessed during the first week of January and is non-refundable.
- January 1 through February 28: a $250 administrative fee, and no tuition is owed.
- March 1 through April 30: $500 administrative fee, and no tuition is owed.
- May 1 to June 30: 15% of total tuition due.
- July 1 to the day BEFORE school starts: 20% of the total tuition due.
- After the start of school: 30% of the remaining tuition is 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*

Clear
Date*

MonthDayYear
Date
Should be Empty:

Student Withdrawal Form