Opt-Out Form

This form will notify Canterbury that one or more of the children in your family will not be returning to the school for either the current school year or next school year and therefore will not be included in Continuous Enrollment. If you are only un-enrolling a part of your family while choosing to keep others enrolled, you will need to fill out both this Opt-Out Form as well as the Continuous Enrollment Form.

*First Name

*Last Name

*Email

name@email.com

*Number of Students being Withdrawn

*Please select the applicable opt out school year.

*Student name(s)

Student Current Grade

Your feedback is important. What are the reasons behind your decision?

*Reason for Leaving

*School child will be attending

*Signature

E-signature required

*Date

MM/DD/YYYY

Opt-Out Enrollment Form

Canterbury School