Withdraw from Sunflower - Sunflower Child Development Center

Request to terminate care: *

I am requesting to terminate care and understand that if I do not give a 2 weeks' notice, I will still be charged for the following 2 weeks.

Last day of care is: *

for my child/children *

Signature *

Use your mouse, track-pad, or phone screen to sign this document above.

Guardian's Name *

Date *

[ ] REQUEST RECEIVED. Billing will be adjusted after two weeks or the date listed above.

Administration Signature

Date

[ ] Classroom has been notified of withdrawal [ ] Billing updated [ ] Signed copy given to family