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Coppertop - Student Termination Form
Complete this form to provide formal notice to University Nursery School to terminate your attendance contract A two-week notice is required when terminating your contract. Failure to provide the required 2-week notice will result in a fee assessment equal to two week's tuition.
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Email *
Date of Request (today's date) *
MM
/
DD
/
YYYY
Name(s) of Child(ren) *
Last date of Attendance *
MM
/
DD
/
YYYY
Reason for leaving *
New Address (If moving or has changed since registration) *
Parent Signature *
A copy of your responses will be emailed to the address you provided.
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