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Request Schedule Change
If you are submitting this request after Wednesday at 12:00p, your schedule will not change for the upcoming week. It will be applied the following week. One form per child must be submitted.
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* Indicates required question
Schedule Change for:
*
Choose
Youth Center Campus
St. Clairsville Campus
Barnesville Campus
Phone Number
*
Your answer
Parent/Guardians First & Last Name
*
Your answer
Childs First and Last Name
*
Your answer
This change is for:
*
Choose
Change Scheduled Times
From Part-Time to Full-Time
From Full-Time to Part-Time
School Age - Before & After Care
School Age - Drop In
Monday Drop Off Time
Time
:
AM
PM
Monday Pick Up Time
Time
:
AM
PM
Tuesday Drop Off Time
Time
:
AM
PM
Tuesday Pick Up Time
Time
:
AM
PM
Wednesday Drop Off Time
Time
:
AM
PM
Wednesday Pick Up Time
Time
:
AM
PM
Thursday Drop Off Time
Time
:
AM
PM
Thursday Pick Up Time
Time
:
AM
PM
Friday Drop Off Time
Time
:
AM
PM
Friday Pick Up Time
Time
:
AM
PM
Submit
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