CHANGE OF SCHEDULE REQUEST

I would like to change   _____________________________

                                          Child’s Name                                                                          

Schedule to _________ (days)  ____Full  ____AM  ____PM,

Effective  __________________.  Please circle the days of

Attendance for the new schedule:    M    T   W   TH   F.

I understand that this request will be granted based on space available in the classroom.

______________________________________   _________

Parent/Guardian’s Signature                              Date