Kidcare Change in Enrollment Form
Please use this form to make changes to your student's schedule in Kidcare. Any changes to your child’s schedule must be made at least one week prior to the beginning of each month. No mid-month changes.

*Fill out one form per child.
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Email *
Your Name *
Phone Number *
Student First Name *
Student Last Name *
Student School *
Student Grade Level *
What is your student's current enrollment status? *
Required
What would you like to change your student's enrollment status to? *
Required
If changing days, please indicate the new days the student will be attending. *
Required
When would you like the change to go into effect? *
MM
/
DD
/
YYYY
Please read and check the boxes below. *
Required
*
Required
Electronic Signature: By typing my name here, I agree to the above schedule change terms. (The name of person filling out the form must match the names provided in the CommunityPass account) *
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