CHANGE OF ENROLLMENT REQUEST FORM

Use this form if you are a currently enrolled family at ChildRoots and you wish to change your child's current enrollment schedule. 

Note that to increase your child’s regular enrollment schedule ChildRoots requires as little as one week's notice, depending on availability. To decrease your child’s regular enrollment schedule or to withdraw entirely ChildRoots requires 60 days notice. 

Have questions? Contact Caroline, our Enrollment Coordinator, or call (503) 235-1151. 

CURRENT ENROLLMENT SCHEDULE
Currently enrolled for which days? *
Requested Change to Enrollment
Please note that to withdraw or diminish your enrollment in any way, we require 60 days advance notice. If date of preferred enrollment/withdrawal is less than 60 days you are still responsible for that full period of tuition.
Start date of preferred enrollment or last physical date at school *
Start date of preferred enrollment or last physical date at school
CHILD INFORMATION
Child DOB *
Child DOB
Name *
Name
PARENT CONTACT INFO
Parent Name: *
Parent Name:
Phone *
Phone