Permanent Schedule Change

Schedule Change: $10.00 fee is charged for any change of schedule. Two week notice is needed prior to effective schedule change.

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Email *
Parent's Name: *
Child's name  *
LOCATION  *

Present Schedule:

*
Required

Requested Change of Schedule:

*
Required

NEW - Drop off time 

*
Time
:
NEW - Pick up time  *
Time
:
Effective date of schedule change  *
MM
/
DD
/
YYYY
A copy of your responses will be emailed to the address you provided.
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