ECLC "Change of Enrollment" Form (School Year 2022-2023)
Child's Name
*
First Name
Last Name
Paren't Name
*
First Name
Last Name
Program Currently Enrolled
*
Noah's Ark - 8 weeks old by by 9/1/22
Toddlers - 12 months by 9/1/22
Twos - 2 years by 9/1/22
Threes - 3 years by 9/1/22
Pre-K/VPK - 4 years by 9/1/22
VPK Virtual Flex Program
Kindergarten - 5 years by 9/1/22
Classroom Currently Enrolled
*
Noah's Ark
Room 1
Room 2
Room 3
Room 4
Room 5
Room 6
Room 7
Room 8
Room 9
Room 10
Room 11
Room 12
Room 13
Room 14
Room 15
Room 16
Room 17
Kindergarten
New Program
*
Noah's Ark - 8 weeks old by by 9/1/22
Toddlers - 12 months by 9/1/22
Twos - 2 years by 9/1/22
Threes - 3 years by 9/1/22
Pre-K/VPK - 4 years by 9/1/22
VPK Virtual Flex Program
Kindergarten - 5 years by 9/1/22
Program Hours (Noah's Ark)
*
5 days (Mon-Fri), 7am-6:00pm
3 days (M/W/F), 7am-6:00pm
2 days (Tu/Th), 7am-6:00pm
Program Hours (Toddlers & Twos)
*
5 days (Mon-Fri), 9am-12:30pm
5 days (Mon-Fri), 9am-3pm
5 days (Mon-Fri), 7am-6:00pm
3 days (M/W/F), 9am-3pm
3 days (M/W/F), 7am-6:00pm
2 days (Tu/Th), 9am-3pm
2 days (Tu/Th), 7am-6:00pm
Program Hours (Threes)
*
5 days (Mon-Fri), 9am-3pm
5 days (Mon-Fri), 7am-6:00pm
3 days (M/W/F), 9am-3pm
3 days (M/W/F), 7am-6:00pm
2 days (Tu/Th), 9am-3pm
2 days (Tu/Th), 7am-6:00pm
Program Hours (Pre-K)
*
5 days (Mon-Fri), 9am-3pm
5 days (Mon-Fri), 7am-6:00pm
5 days (Mon-Fri), 9am-12pm (VPK only)
5 days (Mon-Fri), 12pm-3pm (VPK only)
Program Hours (Kindergarten)
*
5 days (Mon-Fri), 9am-3pm
5 days (Mon-Fri), 7am-6:00pm
Date Program Change Effective:
*
-
Month
-
Day
Year
Date
Is this a permanent or temporary program change?
*
Permanent
Temporary
Temporary Date Ending
*
-
Month
-
Day
Year
Date
Parent's Signature
*
Today's Date
-
Month
-
Day
Year
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