CISD Prekindergarten Withdrawal Form

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Parents/Guardians will fill out this form when informing CISD of student(s) withdrawal from the CISD High-Quality Prekindergarten Program.

Once your student is withdrawn from the prekindergarten program, there is no guarantee a spot will be available to reenroll.

It the student has a Tuition-Based spot with auto-payment from banking account, this form must be filled out 30 days prior to the next scheduled tuition payment. This is stated on the CISD prekindergarten website/tuition, and in the Tuition-Based Prekindergarten Parent Agreement filled out during enrollment.

Email *

Record my email address with my response

Parent's Name *

Parent Email Address *

Student Withdrawing *

Student is Currently *

PreK 3 year old class

PreK 4 year old class

Second Student Withdrawing (if second child is withdrawing) *Leave blank if non-applicable *

Second Student is Currently

PreK 3 year old class

Prek 4 year old class

N/A

Clear selection

Campus Student Has Been Attending *

Carroll ES

Old Union ES

Rockenbaugh

Reason for Withdrawing from Prekindergarten *

Student(s) Last Day Attending Class *

YYYY

Is Tuition Set to Automatically Withdraw from Bank? *

Yes

A copy of your responses will be emailed to .

Submit

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