Notice of Intent to Withdraw
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 Today’s Date: *
MM
/
DD
/
YYYY
The following child will permanently withdraw from the care of Lighthouse Montessori School *
The last day of school will be *
MM
/
DD
/
YYYY
Please accept this form as my two-week notice (10 business days) for withdrawal of my child according to the guidelines outlined in the Parent Handbook. Reason for withdrawal: *
Deposit Refund Policy: The two-week tuition deposit will either be refunded or credited to the following month of tuition. For withdrawal notice of less than 2 weeks, the deposit will be refunded on a prorated basis.   *
Required
Re-enroll Policy: There is no waiting list priority if the deposit has been refunded and the child returns to school. For students who make withdraw and re-enroll within 4 months, a re-enrollment fee of two-week current tuition will apply. (We suggest students take a vacation instead of withdraw if there is a possibility the student will return within in 4 months.)   *
Required
Parent or legal guardian of the child who completed this form: *
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