Summer Fun Schedule Change Form Child's Name Child's Home School Parent's Name Parent Email Address Please check the dates you would like to schedule care below. If you need all of the days in any week, you can select the checkbox in blue next to "Full Week" and it will fill the whole week in for you.This submission will replace your original schedule, so please be sure to mark all dates that you need care with a checkmark.All dates that you do not need care should be unchecked. Full Week 6/19-23 June 19 June 19 June 20 June 20 June 21 June 21 June 22 June 22 June 23 June 23Full Week 6/26 - 30 June 26 June 26 June 27 June 27 June 28 June 28 June 29 June 29 June 30 June 30Full Week 7/3-7(MLEDP Closed Tuesday July 4) July 3 July 3 July 5 July 5 July 6 July 6 July 7 July 7Full Week 7/10-14 July 10 July 10 July 11 July 11 July 12 July 12 July 13 July 13 July 14 July 14Full Week 7/17-21 July 17 July 17 July 18 July 18 July 19 July 19 July 20 July 20 July 21 July 21Full Week 7/24-28 July 24 July 24 July 25 July 25 July 26 July 26 July 27 July 27 July 28 July 28Full Week 7/31 - 8/4 July 31 July 31 August 1 August 1 August 2 August 2 August 3 August 3 August 4 August 4Full Week 8/7 - 11 August 7 August 7 August 8 August 8 August 9 August 9 August 10 August 10 August 11 August 11 Parent/Guardian Signature Sign above by holding down the left button of your mouse of by using your finger in the gray area. Date Submitted Leave this field blank
