The Ranches | Official Withdrawal Form

Parent's First Name*

Parent's Last Name*

I OFFICIALLY WITHDRAW THE FOLLOWING STUDENT(S) FROM THE RANCHES ACADEMY CHARTER SCHOOL.

Student's First and Last Name*

Student's First and Last Name

Reason for Withdraw- The state requires we record the reason for a student to withdraw. Please select the most applicable option.*

Effective Withdrawal Date * This is the last date the student(s) will be attending The Ranches Academy. An advanced date may be submitted, for example for non-returning student(s) the last day of the school year may be submitted.*

ELECTRONIC SIGNATURE BY SUBMITTING THIS FORM, I RECOGNIZE THAT THE RANCHES ACADEMY WILL OPEN THE ABOVE ENROLLMENT SPOTS FOR THE PURPOSE OF A LOTTERY TO ADMIT OTHER STUDENTS. I ALSO RECOGNIZE THAT I WILL HAVE NO RIGHT TO RECLAIM THE ENROLLMENT SPOTS LISTED ABOVE AT ANY TIME IN THE FUTURE. I UNDERSTAND THAT TO RE-ENROLL AT THE RANCHES ACADEMY CHARTER SCHOOL I MUST COMPLETE A NEW APPLICATION AND BE PLACED IN THE GENERAL LOTTERY POOL WITH NO PREFERENCE WHATSOEVER.

Submission Date *

Picture Re-Take Day

Newsies Parent Meeting

Fire Prevention Week

Noon Dismissal

Fall Break

Picture Re-Take Day

Newsies Parent Meeting

Fire Prevention Week

Noon Dismissal

Fall Break

Official Withdrawal Form