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ONLINE PROGRAM CHANGE FORM
We understand that you may need to make a change in your child's program. We will be glad to review your request. To aid in record keeping, please indicate both the program your child is enrolled in currently and the new program requested. A change to any of the Preschool Programs must be reviewed and approved by Linda Turner, Program Director. A change to any of the School Age Programs must be reviewed and approved by Gretchen Burch, Managing Director. ANY CHANGES OR WITHDRAWAL FROM OUR PROGRAMS REQUIRE A 30 DAY NOTICE.

PLEASE NOTE: This form contains separate sections for Preschool Programs, School Age Programs, Summer Camp, and Holiday Care. After entering the required information in this 1st section, you may navigate to whichever section(s) needed by selecting "Next".
Primary Email Address *
Your answer
Parent Name: First & Last *
Your answer
Child's Name: First & Last *
Your answer
Telephone Number: XXX-XXX-XXXX *
Your answer
Effective Date of This Change: mm/dd/yyyy *
Your answer
Reason for Change: *
Your answer
What would you like to do?
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