San Juan Unified School District School Withdrawal Form
To withdraw your student from a San Juan Unified School District school, please complete this form. Please use one form per student. Please include a copy of your VALID ID. Only Legal Parents/Guardians can withdraw students. Requests can take up to five business days to process. You will receive an email upon completion.
Legal Parent/Guardian Name
*
First Name
Last Name
Legal Parent/Guardian Email
*
example@example.com
Parent/Guardian Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent/Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Student Name (full legal name)
*
First Name
Last Name
Student's 6-Digit Student ID Number
*
If unknown, use 000000
Student Date of Birth
*
-
Month
-
Day
Year
Date
Student's Current Grade
Did your student have a 504 plan?
*
Yes
No
Did your student have an IEP (Individualized Education Plan)?
*
Yes
No
What is the last date of attendance in the San Juan Unified School District? (the date you want your student withdrawn)
*
-
Month
-
Day
Year
Date
What is your student's current school?
*
What is the school your student was to attend next year?
*
Name of Student's New School
*
Address of the New School
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Do you have shared custody?
*
Yes
No
Reason for Withdrawal
Upload a picture of a valid parent ID.
*
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