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Withdrawal Form
In order to ensure Cherry Creek Academy has an accurate count for each school year, we ask that you fill out this form only if you do not plan on having your child(ren) return to Cherry Creek Academy.
Student 1 Full Name and Current Grade Level *
Student 2 Full Name and Current Grade Level
Student 3 Full Name and Current Grade Level
Student 4 Full Name and Current Grade Level
Please list your child(ren)'s homeroom teacher(s). *
Effective Date *
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DD
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YYYY
New School *
New School Full Address *
Where will your student(s) be attending school? *
Required
Why did your family choose to leave CCA?
Parent/Guardian 1 Full Name *
Parent/ Guardian 1 Email *
Parent/ Guardian 1 Phone Number *
Parent/Guardian 2 Full Name
Parent/ Guardian 2 Email
Parent/ Guardian 2 Phone Number
By typing my name below, I understand that once my student withdraws, my student cannot be re-admitted unless I complete another Wait List Application. I understand that my student's name will move to the bottom of the wait list. *
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