(909) 796-0161

Not Re-Enrolling

We are sorry to see you go. We value your input, so please complete the form below. And, if your plans change in the future, please reach out to us.

Contact our Admissions team if you have questions or comments.

909-796-0161, option 1

Please keep in mind that this is NOT a withdrawal form for this current school year. This form will only cancel re-enrollment for NEXT school year. If you need to withdraw from the current school year, please contact your school office.

*Student First & Last Name

*Current Grade

*What school will student be attending next school year?

*Reason for not returning

Additional comments

Check if you currently receive financial aid.

Check if you would like information about financial aid.

How was your experience at LLA?

How can LLA improve?

*Name of parent/guardian completing this form:

*Parent/Guardian Email

*Parent/Guardian Phone

Check if you would like an LLA representative to contact you.

Loma Linda Academy

10656 Anderson Street
Loma Linda, CA 92354
909-796-0161

Mission. It is the mission of

Loma Linda Academy for all to:

• Grow in God’s Grace
• Thrive Intellectually
• Develop True Friendships
• Embrace Healthful Living

©2021 Loma Linda Academy. All Rights Reserved