SGV Withdrawal Form

Please complete the form below if your child is withdrawing from CSArts-SGV or will not be returning for the 2020-2021 School Year beginning in August 2020.

This form is to be completed by parent/guardian. By completing this form it is understood that:

Parent is the legal guardian of the student they are withdrawing.
Parent/guardian is obligated to enroll the student in another school or school program immediately after withdrawing from CSArts-SGV.
Parent is responsible for paying any debts owed to the school before withdrawal may be completed.
Parent is responsible for contacting Food Services and paying any debts prior to withdrawal: 626-599-5022.
Parent is responsible for contacting CSArts-SGV Front Office to pay any fines or fees.
Citrus College Dual-Enrollment – If applicable, it is understood that I also need to withdrawal my child from the Citrus College Dual-Enrollment program. For more information contact Citrus College Admissions and Records at 626-914-8511 or at admissions@citruscollege.edu, or visit their website at https://my.citruscollege.edu/task/all/register-or-adddrop-classes.

Maricela Hubbard, Registar
CSArts-San Gabriel Valley
1401 Highland Avenue
Duarte, CA 91010
maricela.hubbard@sgv.csarts.net

Parent Information
Parent Name

Parent First Name
Parent Last Name
Parent's Email
Student Information
Student is withdrawing from this School Year:
Student Name

Student First Name
Student Last Name
7 or 9-Digit Student Number
Student's Current Grade?
Student's Conservatory
Specific name of next school student is attending?
What City and State is the next school located?
Reason student is leaving?
Finalize Withdraw Request
If your child is not returning/withdrawing, please check the box below and provide the withdrawal date.
Confirm Withdraw ->
Student Not Returning
Student is withdrawing, or withdrew on?
Month - Day - Year

Parent Information

Student Information

Finalize Withdraw Request