BASES Schedule Change Form
To make a permanent change to your child’s schedule or to withdrawal from the program,
10 school days written notice is required via this Schedule Change Form.
Email address *
Parent/Guardian: *
Your answer
Parent/Guardian Primary Phone Number: *
Your answer
Child's Name: *
If there is more than one child with the same changes, please put both names below. There is an additional section if a sibling has different changes.
Your answer
Program Site: *
Please choose an option below: *
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