PCS Withdraw Request Form

If you are a current Phenix City Schools parent/guardian grades K-8, please complete this form to begin a withdrawal process for your student. All items must be returned and fees paid prior to completion.

Students from Central Freshman Academy (334-448-8780) and Central High School (334-298-3626) must make an appointment at the school to begin the withdrawal process.

Student First Name *

Middle Name *

Student Last Name *

Date of Birth * +

School *

Grade Level *

Withdrawal Reason *

Withdrawal Date * +

Where are you moving to? Please provide the name, address (city and state included), and contact information of the school you will be attending. Incomplete information will not be processed. *

Is your child an athlete? *

If yes, what sport? *

Parent/Guardian Requesting Withdrawal *

Relationship to Student *

Phone Number *

Parent/Guardian Email Address *

If you have chosen CHS or CFA, you should contact the school for an appointment to complete the withdrawal process. Do not submit this form!