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Schedule Change Request
This form is for those who are interested in requesting a schedule change. Scheduling is done on a first come, first serve basis and filling out this form does not guarantee that you will get the schedule that you desire.
Schedule changes cost $10.
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* Indicates required question
Child Information
Child's First Name :
*
Your answer
Child's Last Name :
*
Your answer
Schedule Information
Our program is open Monday through Friday from 7:30am - 5:30pm.
What is your child's current schedule?
Your answer
What new schedule are you requesting?
Your answer
When would would you like this schedule to take effect?
MM
/
DD
/
YYYY
If you have any additional comments, please leave them below :
Your answer
Agreement
1.
*
I am aware that this form is a schedule request and does NOT guarantee a schedule change.
Required
2.
*
I agree to pay the schedule change processing fee on my next bill.
Required
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