Step 1 of 2 50% Parent Name(Required) First Last Email(Required) Child's Name(Required) First Last ClassBunniesCaterpillarsFrogsButterfliesPigletsLonghornsLizardsArmadillosCampOtherPlease enter the class your child is withdrawing from.Other Class Teacher Name Child's Birthday(Required) MM slash DD slash YYYY Do you have another child withdrawing from Upbring Schools?(Required)NoYesChild's Name 02 First Last Child's Birthday(Required) MM slash DD slash YYYY Do you have another child withdrawing from Upbring Schools?(Required)NoYesChild's Name 03 First Last Child's Birthday(Required) MM slash DD slash YYYY Do you have another child withdrawing from Upbring Schools?(Required)NoYesChild's Name 04 First Last Child's Birthday(Required) MM slash DD slash YYYY What is your final date of attendance in the classroom?(Required) MM slash DD slash YYYY What is your final date of tuition payment?(Required) MM slash DD slash YYYY must be a date the same or greater than your final day of attendance, and 30 days from the day you submit this form as per the handbookWhat is the Reason for withdrawal?Please choose all that apply. Enrolled in short-term program Moving out of the area Transferring to another Upbring School Aging out of school – no options remain Loss of employment Medical reason Found school closer to home Found a school that specializes in something not currently offered at Upbring School Other Please provide your reason for withdrawal.(Required)Please provide your reason for withdrawal. Is there anything we could have done to keep you enrolled?How would you rate your experience with Upbring Schools Excellent Very Good OK Needs Improvement No Opinion Leave us a reviewPlease let us know what we are doing right and what we can improve.(Required)Would you like someone to contact you about your Upbring School experience?(Required) Yes, please contact me soon as possible Perhaps, please call at your convenience No thank you, no call is needed
