Parents Student Withdrawal FormWHAT TO DO IF MY CHILD IS LEAVING TVCS 1. Fill out one form for each child (Be prepared to type in the address of the new school)2. Notify the teacher(s)3. Return any items provided by the school before your departure. Student First Name Student Last Name Student Current Grade TK K 1 2 3 4 5 6 7 8 Student Last Day of School Reason for Withdrawal Transfer, CA School Regular (160) Transfer, Private School (180) Transfer, US (200) Transfer, Private Home School Program (180) Transfer, Public Home School Program (160) Transfer, Out of US (240) - Type Below Other - Type Below If you chose: Transfer, Out of US (240) - Type Name of Country If you chose: Other - Type Reason for Withdrawal Name of New School Street Address City State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Federated States of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Name of New School District Parent/Guardian Signature E-sign Acknowledgement By Checking the box below, I agree that typing my name above qualifies as a signature. Confirmation Email Send