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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
Families
Getting Started
Financial Assistance
Types of Child Care
Policy Updates for Families
E-Childcare
Resources
Información en Español
Early Care Providers
Professional Development
>
October to March 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-Childcare
Forms
FCC/FFN
Getting Started
CPR/FA info
Professional Development
GrowNJKids-QIS
Getting Started
Helpful Links
Important Updates
Contact Us
About Us
Atlantic County
Cape May County
Cumberland County
Gloucester County
Salem County
Survey
Complaints
