This report provides a quick reference of children who have withdrawn from a program. It includes the child ID, date of discharge, as well as the reason for discharge.
- Child ID: The identification number for the child.
- Child Name: The last name and first name of the child.
- Address: The home address for the child.
- City: The city the child lives in.
- State: The state the child lives in.
- Zip: The zip code for the child.
- Home Phone: The home telephone number for the child.
- Date of Discharge: The date the child withdrew from the facility.
- Discharge Reason: The reason selected for the child to withdraw from the facility.
- Mother's Name: The last and first name of the mother or guardian for the child.
- Address: The home address for the mother or guardian.
- City: The city the mother or guardian lives in.
- State: The state the mother or guardian lives in.
- Zip: The zip code for the mother or guardian.
- Home Phone: The home telephone number for the mother or guardian for the child.
- Cell Phone: The cellular telephone number for the mother or guardian for the child.
- Email: The email address for the mother or guardian for the child.
- Father's Name: The last and first name of the father or guardian for the child.
- Address: The home address for the father or guardian for the child.
- City: The city the father or guardian lives in.
- State: The state the father or guardian lives in.
- Zip: The zip code for the father or guardian.
- Home Phone: The home telephone number for the father or guardian for the child.
- Cell Phone: The cellular telephone number for the father or guardian for the child.
- Email: The email address for the father or guardian for the child.
Report Example:
