Please fill out the form below to formally withdraw from GCDC.

All withdrawal forms must be completed at least 2 full weeks prior to withdrawing. Failure to provide a two-week notice will result in continued billing. All withdrawals must be scheduled for a Friday. 

Parent Name (1) *

First

Last

Parent Name (2)

First

Last

Parent (1) Email *

Parent (2) Email

Child's Name (1) *

Child's Name (2)

If more than one child enrolled at GCDC

Child's Name (3)

If more then one child enrolled at GCDC

Classroom *

Classroom (2)

Last Date Enrolled *

Do you want to remain a member? *

• Yes
• No

Reason for Withdrawal *

Submit