2020 Preschool Withdraw Request Form
IMPORTANT, Please complete a separate form for each child. A portion of the Registration fee is refundable. All other refunds are determined by the Director and are based on the date of withdrawal and the space being held for your child.
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
Submit
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