Legacy Christian Withdrawal Form
Enrollment in Legacy Christian will continue until this form is completed. Members are responsible for all payments until the date this form is completed.
Parent Name
First Name
Last Name
Parent Email
example@example.com
Which campus or campuses did you attend?
Please Select
Community Church Rancho
Crosslight
Chino Valley Community Church
Northkirk
San Antonio Heights
Shepherd of the Hills
Student's Names and grades who are withdrawing
Do you want us to remove your students from all classes?
Do you want us to remove your students from Legacy Christian PSP Affidavit and you will file your own PSA or enroll in another school?
Please Select
Yes, remove from Legacy entirely.
No, they will remain under your PSA and I will be the membership fee of $50/month
What is the name of your new school?
Why are you withdrawing?
What date do you want the withdrawal to be effective (today or after)
-
Month
-
Day
Year
Date
What improvements can Legacy make to improve our school?
Submit
Should be Empty: