2021 Summer Vacation Request Form

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Children who are enrolled for the entire summer are allotted one week of vacation time based on their scheduled days (i.e. enrolled three days per week receive three days of vacation credit). Please complete this form two weeks prior to your requested vacation dates. Your account will be credited at the conclusion of the summer program.

Child First Name *

Child Last Name *

Summer Program: *

Preschool Summer Camp at Old Village School

Summer Kids' Club at Thornton Creek (Pick A Week Option is not eligible for vacation time)

Teacher (Preschool) or Room Color (Kids' Club) *

We will use our vacation allotment day(s) on the following date(s): *

I understand by turning in this form with a two-week notice I will be credited for the day(s) listed above at the conclusion of the summer, if my child is enrolled for the entire summer program. *

Yes

Required

Parent Signature *

Parent Email *

Date *

YYYY

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