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 23

	Full Week 6/26 - 30
June 26	June 26
June 27	June 27
June 28	June 28
June 29	June 29
June 30	June 30

	Full Week 7/3-7(MLEDP Closed Tuesday July 4)
July 3	July 3
July 5	July 5
July 6	July 6
July 7	July 7

	Full Week 7/10-14
July 10	July 10
July 11	July 11
July 12	July 12
July 13	July 13
July 14	July 14

	Full Week 7/17-21
July 17	July 17
July 18	July 18
July 19	July 19
July 20	July 20
July 21	July 21

	Full Week 7/24-28
July 24	July 24
July 25	July 25
July 26	July 26
July 27	July 27
July 28	July 28

	Full Week 7/31 - 8/4
July 31	July 31
August 1	August 1
August 2	August 2
August 3	August 3
August 4	August 4

	Full 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

Click the link below to access your Center's Calendar, News, Contact Info and MORE!

This submission will replace your original schedule, so please be sure to mark all dates that you need care with a checkmark.