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
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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 Sleepy Tigers?
*
Yes
No
If yes, return to Sleepy Tigers date
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Month
-
Day
Year
Date
I understand I need to give 30 days notice for preschool & pre-k program, or 15 days notice for summer school age program, to withdraw from Sleepy Tigers Chinese Immersion Learning Center. If 30 (or) 15 days notice is not given, I agree to make full tuition payment for the final month.
*
Yes
Withdraw Reason
*
Entering Kindergarten
Long commute
Moving out of the area
Taking time off from school
The program is not a right fit for my child
Other
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Curriculum:
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Meals & Snacks:
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Relationships:
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Overall Environment:
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Comment
Parent/Guardian Name
*
First Name
Last Name
Email
*
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Phone Number
*
Please enter a valid phone number.
Signature
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