2025-2026 Open Enrollment CANCELLATION

PLEASE READ IMPORTANT INFORMATION BELOW:

The Open Enrollment Cancellation Request Form should ONLY be completed if you NO LONGER want your child open enrolled for the 2025-2026 school year.

One form MUST be completed for each child requesting the Open Enrollment Cancellation.

IMPORTANT: If you wish to CHANGE your child's Open Enrollment placement (e.g. you would like to request a different school that is NOT your home school) DO NOT COMPLETE THIS FORM!

Completion of the Open Enrollment Cancellation Request guarantees your child's return to his/her Home School. You will NOT receive an approval notification for your request.

If you have ANY questions concerning completing a K-5 Open Enrollment Cancellation Request or an Open Enrollment Application, please contact Mrs. Verhest at the Board of Education at 330-225-9510
Date of Cancellation Request Date of Cancellation Request / MM / DD YYYY
Student Name Student Name First Last
Student ID Number:
Grade Level:
School Currently Attending:
Address of Parent/Guardian/Residential Parent: Address of Parent/Guardian/Residential Parent:
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Student's Home School (Based on address of the parent/custodian/residential parent of the student. Student will AUTOMATICALLY be enrolled in the Home School.)
Name of Parent/Guardian Name of Parent/Guardian First Last
Primary Phone Number Primary Phone Number - ### - ### ####
Additional Phone Number Additional Phone Number - ### - ### ####
Parent/Guardian Email Address
I request to CANCEL previously approved Open Enrollment, and my child attend his/her home school (listed above) next school year.

I request to CANCEL previously approved Open Enrollment, and my child attend his/her home school (listed above) next school year. Yes
I understand that by submitting this form it is considered my electronic signature.

I understand that by submitting this form it is considered my electronic signature. Yes