Change of Schedule

 

 

                                                                                        

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        Today’s Date  

 

  

Student Name 

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Teacher    _______________________________

 

Current Schedule

 

Full-Day___    Extended Day___    Half-Day___    Half-Day Lunch Bunch___

7:00-6:30              9:00-2:30                  9:00-12:00          9:00-12:00/nap

 

 

I am requesting a change in my child’s regular schedule for the following reason:

______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

Schedule Requested

 

Full-Day___    Extended Day___    Half-Day___    Half-Day Lunch Bunch___    

7:00-6:30              9:00-2:30                  9:00-12:00          9:00-12:00/nap

 

Other______________________________________

 

Permanent ___       Temporary___

 

If temporary, please list dates of change:    From_________________  To_____________________

 

 

 

 

Please understand that we will try to accommodate needs in regards to schedule changes.  

All changes are subject to the Director’s approval. 

 

 

 

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      Parent Signature