ACPA - Withdrawal Form
Childs Name
First Name
Last Name
Time / Date of Class
Withdrawal Effective Date
-
Month
-
Day
Year
Note: If you wish to withdraw your child from classes, you must do so before the 15th of the month PRIOR to the month you wish to withdraw. For example, if you wish to withdraw for February, you must do so by January 15th. If you do not do this, you will be responsible for paying February’s tuition in full.
Reason for Withdrawal
Submit
Should be Empty: