Please complete this form for the following:
1. Begin or End AM/PM Extended Care
2. Change Schedule of AM/PM Extended Care
3. Drop In Care Needs
4. Ending the School Year early
Schedule changes that decrease the contracted amount require a 30 day notice. The effective billing date of the change will take effect on the next billing cycle of the selected monthly plan following the 30 day notice. If you are in need of an immediate change a $25 fee will be added to your contract. Changes more than 4 times a year, may incur a $50 change fee. Additional fees may also apply.