SKIES Unlimited Withdrawal Form

All blanks must be filled in to be withdrawn from the program. A confirmation email will be
sent to your account as soon as the withdrawal has been processed.

Spnsor's Name:

Child's Name:


CYSS Program(s) you wish to withdraw from:

Today's Date:

Date of Withdrawal (Please note that 2 weeks notice is required of all withdrawals. In the case
of orders or medical emergency, please contact your program director for an exemption):

Reason for withdrawal:

If you are PCSing, what is your last day on Fort Jackson?:

All financial obligations must be met prior to official withdrawal. Your confirmation email will specify the amount
still owed (if any) prior to completion of withdrawal.

 THANK YOU!