Current Student Withdrawal Form

The student listed below will withdraw from The Lamplighter School.

Student's Name*required

First Name

Last Name

Student's Current Grade*required

Please indicate the reason for your child's withdrawal.*required

Student's Last School Day at Lamplighter*required

Must contain a date in M/D/YYYY format

Signature of Parent or Guardian*required

Relationship to Student*required

Email Address*required

If you have any questions or concerns about your decision, please contact Becky Walker, Director of Enrollment Management, at 214-369-9201, x345 or bwalker@thelamplighterschool.org.

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