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Change Notification


Use this form to initiate a change in your child's Extended Care.

Please note that all monthly billing plans will be pro-rated to the nearest half-month.

Effective Date of Change
First & Last Name(s) of all students affected by this Change Notification

Please select ONE of the following options.

Comments or special circumstances

Please adjust the billing on my account to reflect the changes noted above. I understand that all monthly billing amounts will be pro-rated to the nearest HALF-MONTH.