Program Withdrawal Request
Child 1's Name
*
First Name
Last Name
Child 1's Birthdate
*
-
Month
-
Day
Year
Date
Child 2's Name
First Name
Last Name
Child 2' Birthdate
-
Month
-
Day
Year
Date
Child 3's Name
First Name
Last Name
Child 3's Birthdate
First Name
Last Name
I'd like to withdraw my child(ren) from Sleepy Tigers Chinese Immersion Learning Center.
*
Yes
Last Day of School
*
-
Month
-
Day
Year
Date
Return to School
*
Yes
No
If yes, return to school date
-
Month
-
Day
Year
Date
I understand I need to give 30 days notice to withdraw from Sleepy Tigers Chinese Immersion Learning Center. If 30 days notice is not given, I agree to make full tuition payment for the final month.
*
Yes
Withdraw Reason
*
Long commute
Moving out of the area
Entering Kindergarten
Taking time off from school
The program is not a right fit for my child
Other
Comment
Parent/Guardian Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Signature
*
Clear
Submit
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