Withdrawal Form - Lexington Christian Academy

To initiate a withdrawal, please complete each of the fields listed below. A member of the Admissions Office will contact your family, review your submission and answer your questions. The Finance Office will also contact you and provide information regarding your family’s financial obligation.

Student's First and Last Name *

Student's Current Grade Level *

Student's Date of Birth *

Reason for Withdrawal: *

Withdrawal Date:

Name of New School: *

Address of New School: *

I have read and reviewed the school’s financial policies including the ones pertaining to withdrawals. I understand my student's records will not be released by Lexington Christian Academy until all financial obligations have been met, and all school materials (books, library books, athletic uniforms, etc.) are returned.

Parent's First and Last Name: *

Parent's Phone Number:

Today's Date:

Enter Your Email Address: *