Leaver Form - Secondary Boys School Croydon

Student Information
Please note, this information is required by the local authority, therefore, all fields must be completed correctly.
Full Name*
First Name Middle Name Last Name
Date of Birth*
DD dash MM dash YYYY
Year Group*
Date of Leaving / The last day your child will be attending school:*
DD slash MM slash YYYY
Reason of Leaving*
Have you given one term notice?*
- No
- Yes
Date of Notice*
DD slash MM slash YYYY

Please provide the date of the notice.
New School's Details
New School's Name*
School's Address*
Street Address Address Line 2 City County Post Code Country
Tel:*
Home Schooling
Are you going to educate your child at home?*
- No
- Yes
If yes, have you informed your local authority?*
- No
- Yes
Moving to Another Country
Are you migrating to another country?*
- No
- Yes
If Yes, please state the country name*
Email Address for Copy of this Form:

Enter your email address and we will send you the copy of this form for your record.
Parent Information
Please note, this information is required by the local authority, therefore, all fields must be completed correctly.
Parent's Full Name*
First Name Middle Name Last Name
Parent's Tel/Mob:*
Parent's Email Address:*
Signature:*

Leaver Form – Secondary Boys School Croydon