Withdrawal Form.

This form is to be completed when giving Montessori East notice about a student's withdrawal from the school.

Student Name

Student's birth date

Student Class

Date of notice

Last day our child will attend

Reason for withdrawal

(This information is required by law for all school-age children)

Name of new school

Address of new school

(If different from current one)

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

New phone number

Parent Name

Parent Email

Parent Signature

We understand the terms and conditions outlined in our contract signed at the time of our child’s
enrolment.