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.
Parent/Guardian Primary Phone Number:
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.
Head O'Meadow BASES
Middle Gate BASES
New Fairfield BASES
New Hartford BASES
Sandy Hook BASES
Please choose an option below:
Withdraw from Program
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