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Enrollment Change Form
If a change in enrollment needs to be made this form must be filled out and submitted 2 weeks prior to the change. Tuition and late fees will continue to be charged until the STRIPES 360 Office receives this form.
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* Indicates required question
Email
*
Your email
Student(s) Name
*
First and Last
Your answer
School student attends
*
Choose
Lyon
Price
McCulloch
Schofield
Sweeny
Middle School (TEENS)
PRESCHOOL (PALS)
Parent/Guardian Name
*
Your answer
I would like to WITHDRAW my student(s) from the STRIPES 360 program
AM
PM
BOTH
Clear selection
Reason for withdraw from the STRIPES 360 progam
*
Your answer
I would like to CHANGE my student(s) enrollment to
Select all that apply
FRIDAY EARLY RELEASE
AM ONLY
PM ONLY
AM and PM
Date change takes effect
*
Your answer
Please leave comments or questions here or contact the STRIPES 360 office at 417-735-3778
Your answer
Acknowledgement
*
Please check the box below
I understand that my tuition will not be adjusted without a 2 weeks' notice.
Required
Submit
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