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Panther Kids Withdrawal Form
Please complete this withdrawal form and submit by the 26th of the month prior to no longer needing childcare.
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* Indicates required question
Child's Name & Grade Level
*
Your answer
Campus
*
Choose
Castleman Creek
Chapel Park
Hewitt
Midway Middle
Park Hill
River Valley Middle
South Bosque
Speegleville
Spring Valley
Woodway
Effective Date of Withdrawal
*
MM
/
DD
/
YYYY
MISD Employee: Please cancel my payroll deduction.
Yes
Clear selection
Reason for withdrawing (we are always looking for ways to improve our program and we value your input):
Your answer
Name of Person withdrawing student:
*
Your answer
By entering my initials, I am confirming the information above.
*
Your answer
Submit
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