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Request for Withdrawal

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Building Bridges for today’s students to cross into tomorrow’s world with equity, innovation and optimism 
 
Nyack School District 13A Dickinson Avenue ∙ Nyack, NY 10960. Phone: (845)353-7038 ∙ Fax (845)353-7019 Email: smena@nyackschools.org or sdonohue@nyackschools.org
Request for Withdrawal
 
Student Information:
Namerequired
First Name
Middle (optional)
Last Name
Must contain a date in MM/DD/YYYY format
Parent/Guardian Information:
Namerequired
First Name
Last Name
Attach up to 1 file with a maximum size of 10MB
No file chosen
Must contain a date in MM/DD/YYYY format
FOR OFFICIAL PURPOSES
Click on the “Parent Resource” tab and scroll down, then click on “Registration"

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