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RND ACADEMY HOLD AUTHORIZATION FORM
30 DAY VACATION HOLD FOR MONTHLY CLASSES
PARENTS NAME
*
First Name
Last Name
STUDENT NAME
*
First Name
Last Name
Students School
*
Please Select
Apple Tree Preschool & Kindergarten
Fullerton Children's Academy
Lamb of God
Little Shepherds Learning Center
Montessori Children's World
Seaside Renascence International Preschool
Stepping Stones
Village Montessori
Zion Lutheran Early Childhood Education Center
Zion Lutheran School Age Care
E-mail
*
example@example.com
Cellular Number
Date
*
-
Month
-
Day
Year
VACATION Start Date
Date
*
-
Month
-
Day
Year
VACATION End Date
LAST 4 OF CC ON FILE
*
Terms & Conditions
1) I understand the HOLD must be submitted 48 hours before the 1st of the month and that I am responsible for all charges within the 48 hour notice, as well as any classes given in advance. 2) I understand that August classes are given in advance during the regular school year and will be due in full on August 1st. 3) I understand HOLDS are not valid for the 4 major holidays that are included with tuition: Thanksgiving, Winter Break, New Years & Spring Break. *Holds not received 48 hours before the month in question are automatically charged/billed for the full month’s tuition on the 1st of the month.
Date of Signature
*
-
Month
-
Day
Year
Date
Signature
*
Submit
Should be Empty: