Continuous Enrollment Withdrawal Form

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Please fill out this form to give more information concerning your student's withdrawal from CHA for the upcoming 2025-2026 school year.

Email *

Name *

Phone number *

Student Name *

Student Grade *

Required

PARENT ELECTRONIC CONSENT OF WITHDRAWAL PART 1 *

I certify that I represent all legal decision making parties for the student’s education.

Required

PARENT ELECTRONIC CONSENT OF WITHDRAWAL PART 2
*

I understand that by checking this box and submitting this form, I am ending my child's enrollment at CHA, effective at the end of the current school year or the date indicated on the form if it is a mid-year withdrawal. The child's spot will not be held upon receipt of this form.

Required

PARENT ELECTRONIC CONSENT OF WITHDRAWAL - PART 3
*

If circumstances change and I desire to re-enroll my student, I understand that I must contact the admission office to see if space is available and will also be required to pay the standard registration fee per the posted tuiton and fees for the school year of desired enrollment.

Required

PARENT ELECTRONIC CONSENT OF WITHDRAWAL PART 4
*

Prior to the release of records, students are required to return school-owned textbooks, athletic equipment, and any other school-owned items and clear all financial accounts including payment of any applicable withdrawal fees as outlined in the enrollment agreement.

Required

Signature *

Date *

YYYY

Additional Comments: *

A copy of your responses will be emailed to the address you provided.

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