Official Withdrawal Form

St. Monica Catholic School Catholic Official Withdrawal Form

Parent/Guardian Consent(Required)
Student Name
Current Address
New Address (if moving)
MM slash DD slash YYYY
*Withdrawal Procedure (to be completed by office) 1. Principal Call/Meet with Parent/Guardian 2. Enrollment Team Notified 3. Business Office - Account Clear Y/N 4. Library - Lost/Damaged/Overdue 5. IT - Email removed deactivated 6. Textbooks all returned - Y/N


Grades St. Monica Catholic School uses a trimester system. Therefore, on the completed withdrawal form from the school, you will receive your student's grades for the last completed trimester. Therefore, grades reflected will be the student's cumulative grade from the beginning of the current trimester until the withdrawal date. I hereby authorize St. Monica Catholic School to release my child's school records and standardized test scores to any elementary school, middle school or high school, or post-secondary school that requires this information. I understand that all accounts must be paid in full, per Payment Policy, before any records, transcripts, grades, etc., can be released.
Parent/Guardian Name