Beth Ami Change in Schedule Request Form 19/20
This form is to be used when you would like to switch your child's normal schedule. THIS IS NOT THE DROP-IN FORM. Your first schedule change is complimentary, but after that a $50 fee will be billed to your Brightwheel account.
Email address *
Child's Name *
Your answer
Parent's Name Making Request *
Your answer
Class *
Date You Would Like New Schedule to Start *
MM
/
DD
/
YYYY
Current Days In School *
Required
Current Drop-Off Time *
Required
Current Pick-Up Time *
New Requested Days in School *
Required
New Requested Drop-Off Time *
New Requested Pick-Up Time *
Comments
Your answer
I certify my request is accurate *
Required
A copy of your responses will be emailed to the address you provided.
Submit
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