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Specialist Sports Withdrawal

Specialist Sport Programs Withdrawal Form

Use this form to request withdrawal from either the Specialist Basketball or Specialist Cricket Program.

Student Name

First Last

Specialist Program withdrawing from(Required)

Specialist Basketball

Specialist Cricket

Reason for withdrawing from the program(Required)

Change of Subject

Medical Reasons

Withdrawal from the College

Other (Please state below)

Other reason from the above (please specify)

Please note the following:

I acknowledge that withdrawal from the Specialist Program will require my child to change out of the timetabled Specialist Program elective for Years 8, 9 and 10 if they are enrolled for this elective.

I acknowledge that any withdrawal from the Specialist Program after the Friday of Term 1, Week 2 will not receive a refund unless for a medical reason approved by the College.

Parent/Guardian's Name(Required)

First Last

Email

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Kennedy Baptist College

Farrington Road
Murdoch, WA 6150
Australia
Phone: (08) 9314 7722

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30 Years Event RSVP

Name

First Last

Email

Phone

Will you be attending the Celebration Service?

Yes

No

Maybe

Number of guest attending with you:

Are you interested to join the Alumni Group below:

Kennedy Baptist College

Somerville Baptist College

Winthrop Baptist College

Not interested

Please also complete a alumni form so we can place you in the most relevent Class Group.

Are you a current parent with a child at Kennedy Baptist College?

Yes

No, not planning to send my child to Kennedy

Planning to send my child in the future

Additional Comments or Questions:

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Phone

This field is for validation purposes and should be left unchanged.

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Kennedy Alumni

When you graduate from Kennedy Baptist College, you are invited to be part of our lifelong member of our alumni community to stay in touch.Please include your email and contact number for future updates or reunions.

Class of(Required)

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Name(Required)

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