ELCA After-School Program Withdrawal Form

ELCA After-School Withdrawal Form

Eagle's Landing Christian Academy
The ASEP program is perpetually billed monthly regardless of hours or days attending until and unless a withdrawal form is received. Students who withdraw from the program and later re-enroll will incur a $30 re-enrollment fee.

For mid-month withdrawals, tuition is prorated: withdrawals finalized on or prior to the 15th of the month will incur a 50% charge for that month, while those finalized after the 15th will be billed at the full monthly rate. Please note that the official withdrawal date is the date the form is formally submitted.
Parent's Name
Parent's Email
Student's Name:
Grade:
Homeroom:
I wish to withdraw my child from the ELCA After-School Program as of
today. The monthly cost of the program will no longer be billed to my
account.
Parent Signature
Date

MonthDayYear
Date
Reason for withdrawal:
Should be Empty:

ELCA After-School Withdrawal Form