Summer Program Pre-K to 4 Change in Enrollment Form

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Please submit this form if you require changes in enrollment for the summer program for Pre-K to 4.
If you have multiple children in the program, please submit one form per child.

Once the form is received by the summer program director, an email will be sent out within 48 hours approving or denying the changes requested.

Email *

Student First Name *

Student Last Name *

Grade *

Pre-K

Grade 1

Grade 2

Grade 3

Grade 4

Parent First Name *

Parent Last Name *

What changes are you requesting? *

Add weeks to the current attendance schedule

Remove weeks from current attendance schedule

Withdraw from the summer program, after June 1, there is a 50% weekly fee penalty

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