Withdraw

Withdrawal Form

* Indicates required field

Today's Date *

Name *

First

Last

Email *

Phone Number *

Child's Name *

First

Last

Last Day of Attendance *

Reason for Withdrawal *

I agree to the following: *

I would like to officially withdraw my student from Lutz Learning Center. I understand that this notice must be given prior to the 25th of the current month that the following month will be my child’s last month. I understand that if I don’t give notice within the time period stated, I forfeit my final deposit. I understand if I was awarded a loyalty scholarship and withdraw my child before the end of the school year, I forfeit the scholarship and my account will be adjusted accordingly.

Submit

We would love feedback from you, as a parent! It's only with your help we can continue to evaluate and improve our program! Please take a minute to fill out the survey and return to the office. Thank you!

LLC SURVEY
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