Auto-Withdrawal Change Request
Please note:
All requests should be submitted no later than the 10th of the month.
While we will work with you as much as we can, requests are not guaranteed. Staff will review your request and contact you with any questions or neccessary changes.
Multiple changes throughout the school year will not be permitted.
Please contact the church or school office if you are unsure.
Your Name
First Name
Last Name
Email
example@example.com
Children's Names
Change(s) Requested
Tuition
Start A/W
Stop A/W
Hold this Month's A/W
N/A
Tuition Change Explanation/Request
Lunch
Start A/W
Stop A/W
Hold this Month's A/W
N/A
Lunch Change Explanation/Request
After School Care
Start A/W
Stop A/W
Hold this Month's A/W
N/A
ASC Change Explanation/Request
Change/Add Bank Account
Yes
No
Attach voided check or bank letter here.
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