Current Student Withdrawal Form

The student listed below will not return to The Lamplighter School for the 2023-2024 school year.
Student's Namerequired
First Name
Last Name
Student's Current Graderequired
Please indicate the reason for your child's withdrawal.required
Signature of Parent or Guardianrequired
Date (MM/DD/YYYY)required
Relationship to Studentrequired
Email Addressrequired
If you have any questions or concerns about your decision, please contact Becky Walker, Director of Admission & Placement, at 214-369-9201, x345 or