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Cancellation Form
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CANCELLATION FORM
Please refer to the Parent Handbook for cancellation policies.
Select Your School
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required
Advantage Academy of Hillsborough
Channelside Academy of Math & Science
Doral International Academy of Math & Science
Hillsborough Academy of Math & Science
Independence Academy
Orange County Preparatory Academy
Pinellas Academy of Math & Science
Riverview Academy of Math & Science
Summerville Advantage Academy
Sunlake Academy of Math & Science
Valrico Lake Advantage Academy
The Charter School at Waterstone
West Broward Academy
Bell Creek Academy
Child/Participant
*
required
Full Name
Date of Birth
*
required
Must contain a date in M/D/YYYY format
2nd Child/Participant
Full Name
Date of Birth
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Program(s) to be Cancelled
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required
Select all that apply
Before Care
Aftercare
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Last Day of Care
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Must contain a date in M/D/YYYY format
Reason for Cancellation
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Parent/Guardian E-Signature
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Today's Date
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