2019 Summer Camp - Request to Drop

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Email *

Child's Name *

Child's Birth Date *

YYYY

School *

Grade *

Student ID (Lunch #)

My child's last day at summer camp *

YYYY

Reason

I understand that I must give a one week notice to the program to drop my child, or I may be required to pay the one week of tuition even though my child will not be in attendance.

By entering your name below, you acknowledge that you are voluntarily requesting to stop your child care services.

Parent/Guardian Signature *

Date *

YYYY

A copy of your responses will be emailed to the address you provided.

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