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Preschool Withdraw Request Form
IMPORTANT, Please complete a separate form for each child. 
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Date of Request *
MM
/
DD
/
YYYY
Student First Name *
Student Last Name *
Parent/Guardian *
Email Address *
Phone Number (if we have questions about your form) *
Please provide a brief reason for the withdraw/transfer request *
Class you are withdrawing your child from *
Required
I understand that the registration fee is non-refundable. All other refunds will be determined by the Director and the date of withdrawal. *
Required
Notes or additional information: If there is anything else we should know, please provide the information below
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