Opt Out

This form will notify Westlake Christian Academy that one or more of the children in your family will not be returning to WCA for the 2021-2022 school year and therefore will be removed from Continuous Enrollment. The deadline to withdraw without making a non-refundable down payment for the new school year is March 31. For those withdrawing after the deadline, please allow 4-6 business days to stop any payments originally scheduled in June or after. Please contact the business office with any payment-related questions. If you are only withdrawing part of your family while choosing to keep others enrolled, you will need to fill out this Withdrawal Form but your other child(ren) will remain enrolled until you notify us otherwise.
Parent Name*
First Last
Email*
Number of Students Being Un-enrolled*
Student Name
First Last
Student Name
First Last
Student Name
First Last
Student Name
First Last
Student Name
First Last
Student's Last Day of School:*
MM slash DD slash YYYY

Please select today's date OR the last day that your student will attend classes at Westlake Christian Academy. The last day of school for 2021–22 is 6/03/2022.

Acknowledgement
"I hereby choose to withdraw the above child/children from Westlake Christian Academy. I understand that, should I choose to re-enroll the above child/children and have not made a non-refundable down payment in April, there will be an enrollment fee for each child as published. I also acknowledge that by withdrawing my child, he or she loses his or her placement and future admission to any grade level is subject to waiting lists and availability."*
- I acknowledge
Signature
Date
MM slash DD slash YYYY
Name
This field is for validation purposes and should be left unchanged.