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Disenrollment
Complete the form below if you have a child that is no longer present at your site.
Please note that this form should only be completed for a child receiving subsidy through The Rutgers Southern Regional CCR&R.
*
Indicates required field
Child's Name
*
First
Last
Guardian's Name
*
First
Last
Last Date Child Attended
*
Your EPPIC ID
*
The County in Which Your Site is Located
*
Atlantic
Cape May
Cumberland
Gloucester
Salem
Submit
Home
Conference
Families
Getting Started
Financial Assistance
Types of Child Care
Policy Updates for Families
E-Child Care
E-Child Care Card Replacement Request
Resources
Información en Español
Early Care Providers
Professional Development
>
April to September Schedule
CPR/FA info
Montclair PD
Central NJ Health Consultants
NJ First Steps (B-age3)
SPAN
Strengthening Families Initiative (SFI)
CCDBG Trainings
PD Shares
Policy Updates for Providers
E-Child Care
Forms
FCC/FFN
Getting Started
CPR/FA info
Professional Development
GrowNJKids-QIS
Getting Started
Health and Safety best practices
Emergency Preparedness
Helpful Links
Important Updates
Employment Opportunities
Contact Us
About Us
Atlantic County
Cape May County
Cumberland County
Gloucester County
Salem County
Survey
Complaints
