ESage Schedule Request
**** This form is NOT to enroll for ESage. Please complete a Registration form, which is at the top of our website. ****

Extended Day ESage Credit Policy:
For School Year 2020 ESage, we will provide credits in the following instances only:
1) INABILITY TO PASS SAGE'S DAILY HEALTH SCREEN. Sage's School Nurse and/or ESage will provide prompt follow up instructions as well as a credit should your child not pass Sage's daily screen at drop-off.
2) PHYSICIAN DOCUMENTED ILLNESS. A credit will be provided should you submit a doctor's note demonstrating that your child should not attend ESage due to any illness.
3) CONFIRMED OR SUSPECTED COVID-19 CASE. We will provide credit for as long as your child(ren)'s enrichment group and/or our whole program is closed. Follow up instructions will be given via email in this case.
4) VACATION CREDIT. We will provide a credit for up to 8 Extended Day (Mon-Thur) ESage days during the School Year (first day of attendance - June 4, 2020). Notice of your child's absence must be submitted at least ONE WEEK in advance via this Schedule Request Form in order to be eligible for a credit.
Email address *
Child's Last Name *
Child's First Name *
Grade *
I would like to cancel a day
Schedule Start (first day of absence)
MM
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DD
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YYYY
Schedule End (last day of absence)
MM
/
DD
/
YYYY
I would like to give more detail about my submission
I would like to cancel my enrollment in the ESage Program. My child(ren)'s last day of attendance will be:
Parent/Legal Guardian Signature *
A copy of your responses will be emailed to the address you provided.
Submit
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