Vanderbilt Schedule Change Form
A copy of your Schedule Change Response will be emailed to you at the address you provide.  If you do not receive a copy, please call the office at (631) 549-9417
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Email *
Child's First Name *
Child's Last Name *
Date of Schedule Change
Please either click on calendar icon to choose date
or enter date with 4-Digit Year. 
Schedule Change *
*Please Note*  This form is not to be used after 12pm for same day schedule changes.  For changes after 12pm, you MUST call the REACH office at (631) 549-9417.
Person Making Change *
A copy of your responses will be emailed to the address you provided.
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