EDP Withdrawal Notification

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Please accept this as my official notification of withdrawal from PfISD Extended
Day Program for the student(s) listed below. (Due 2 weeks prior to withdrawal date.)

Email *

Todays Date *

YYYY

Student(s) First & Last Name (If you have more than one student please list each of their names below.) *

My student(s) attend the following school. *

Brookhollow

Caldwell

Carpenter

Copperfield

Dearing

Dessau

Delco

Hidden Lake

Highland Park

Mott

Murchison

Northwest

Parmer Lane

Pflugerville

Riojas

River Oaks

Rowe Lane

Ruth Barron

Spring Hill

Timmerman

Wieland

Windermere

**Summer Camp**

**Fall Camp**

**Winter Camp**

**Spring Break Camp**

Required

My student(s) last day in EDP will be? (2 weeks written notice is required.) *

YYYY

Withdrawal Reason? (Optional)

Tuition is setup on Auto-Draft? *

Yes

Required

As stated in the Parent Handbook, EDP requires 2 weeks written notice in order to withdrawal a student from the program. Failure to provide a two week written notice will result in the full amount of tuition being due. In the event that the tuition has been paid in full and proper notification is received, a partial refund will be issued. *

I acknowledge that I have read and understand the EDP withdrawal requirements.

Required

If at any point I would like to enroll my student(s) back into the Extended Day Program, I understand that I must complete a new registration form and pay an additional registration fee per student. I also understand that by withdrawing my student(s) from the program their spot(s) will be given to the next person in line. *

I acknowledge that I have read and understand the statement above.

Required

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

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