Clone of 25-26 CPACTC Acceptance and Wait List Verification Form

To decline your 2nd or 3rd choice acceptance and remain on the wait list for your 1st or 2nd choice program OR to completely withdraw your application for the 26-27 school year, please complete this form.

(Please only complete after your admissions decision letter has been received. Students who are on the wait list, do not need to complete this form)
Student Name*

First NameLast Name
Current Grade*

Grade 8Grade 9Grade 10Grade 11
Parent email*
example@example.com
Parent phone #*

Area CodePhone Number
Current School District*

Big SpringCamp HillCumberland ValleyEast PennsboroGreenwoodMechanicsburgNewportNorthern YorkSouth MiddletonSusquenitaTrinityUpper AdamsWest PerryWest Shore - Cedar CliffWest Shore - Red LandWest Shore Christian AcademyOther
Please choose from one of the options below:*

NO, I am no longer interested in the program I was accepted for. Please keep my name on the wait list for my 1st and/or 2nd program choice(s).NO, I am no longer interested in attending CPACTC for the 2026-2027 school year. Please remove my name from the acceptance list.
Should be Empty:

To decline your 2nd or 3rd choice acceptance and remain on the wait list for your 1st or 2nd choice program OR to completely withdraw your application for the 26-27 school year, please complete this form.