Intent to Withdraw - 2021-2022
Please Read Carefully
This form should be used to communicate Intention to withdraw a currently enrolled student.
This form can only be used for ONE student. (If you intend to withdraw multiple students, please submit this form multiple times.)
Please be reminded that in accordance with the Continuous Enrollment Agreement, this form must be submitted before March 31 to avoid late withdrawal fees. Forms submitted after March 31 will be subject to the fees outlined in the Continuous Enrollment Agreement.
Enter Student's Name
Typing your name below will be considered by CVCA as your written signature, and indicates that you DO NOT desire for your student to be re-enrolled at CVCA for the 2021-2022 school year. Enter your name below:
Please briefly describe the reason for your student's anticipated withdrawal.
My Student's Intended Last Day will be:
Never submit passwords through Google Forms.
This form was created inside of Cuyahoga Valley Christian Academy.