Dismissal Form

If your child is not returning for our 2019-2020 program year, please complete the dismissal form below  and provide for us an expected date of dismissal.  Make note: Our last day for this program year will be Tuesday, July 30th as we will be closed on Wednesday, July 31st for professional development. 

First and Last Name Required

Child's Name Required

Phone Number


Date of dismissal? Required