add-on day form

SCHEDULE CHANGE REQUEST FORM (DAILY ADD-ON & PERMANENT CHANGE)

* Indicates required field

Name *

First

Last

Email *

Phone # *

Child(ren)'s Name(s) *

I am requesting to: *

Make a permanent schedule change Add specific dates Add specific AM or PM club only

Please list days/dates and times in the box below *

We will do all we can to accommodate your add-on needs, but please note that there is a chance that there will not be room in the classroom for your child on the day(s) you request. The more advanced notice we receive, the better the chance is that we will be able to make room to accommodate your request.

You will receive an email within 24 hours (except weekends) letting you know if this request is approved or not.

DAILY ADD-ON RATES:    MORNING CLUB & AFTERNOON CLUB ADD-ON RATES:
Full Morning (9am-12:30pm) $55    1-30 minutes: $ 8 91-120 minutes: $30
Full Afternoon (12:30-3:30)    $45    31-60 minutes: $15 121-150 minutes: $38
Full Day (9am-3:30pm) $85    61-90 minutes: $23    151-180 minutes: $45

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