2018-2019 Extended Learning schedule change form
Welcome to the Extended Learning schedule change form!
All schedule changes will result in a $15 change of schedule fee.
Additions of AM care will be $6.00 and require a 24 hour notice and an email to the SITE COORDINATOR.
Additional days will be $37.50 per day and require a weeks notice. You will receive a confirmation email when your request is approved.
Please note there will be no trading days.
All schedule changes must be in effect for at least a month, or days will be added on an individual basis.
Email address *
Student First Name *
Your answer
Student Last Name *
Your answer
School *
Grade *
What kind of schedule change is this? *
Effective change date *
MM
/
DD
/
YYYY
Current AM days of attendance *
Required
Current PM days of attendance *
Required
Which AM day(s) are you ADDING? *
Required
Which PM day(s) are you ADDING? *
Required
Which AM day(s) are you DROPPING? *
Required
Which PM day(s) are you DROPPING? *
Required
Comments for clarification are encouraged!
Your answer
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