ABC Care Schedule Change Form

ABC Care Schedule Change Form
**A schedule change fee of $40 will be charged for each schedule change. (fee will be waived until the first day of school)

**One month notice is required for schedule changes to take place.

(Please refer to your parent manual, page 19)
Child's Name*

First NameLast Name
Siblings that need same schedule change:
Parent's Name*

First NameLast Name
Parent's Phone Number*
Please enter a valid phone number.
Parent's Email*
example@example.com
Which ABC Care Center does your child attend?*

Ebb Valley ElementaryEldersburg ElementaryElmer Wolfe ElementaryFriendship Valley ElementaryHampstead ElementaryManchester ElementaryMechanicsville ElementaryMt. Airy ElementaryNCCSParr's Ridge ElementaryPiney Ridge ElementarySacred HeartSt. John'sWestminster ElementaryWinfield ElementaryWest MiddleWilliam Winchester Elementary
What type of schedule is your child signed up for NOW? (not what you want to change to, what they are doing and you are paying for right now)*

Regular weekly schedule (they are scheduled for the same days/times every week and you pay a monthly fee)Drop in/Flex only (come on an as needed basis and you pay for care only for the days you request using the drop-in/flex care form)

What is the type of CHANGE you are requesting?*

I want to switch, add or remove a day or time that my child is attending but still remain or start on a regular weekly schedule (approval of change is contingent on availability at the center - schedule change fee applies)I want to change to drop in/flex only status (this status will still be allowed to use services on an as needed basis including all day care days - schedule change fee applies)Withdraw completely (will no longer be registered with us for the remainder of the school year, if you want to return later you will have to re-register - schedule change fee waived)

Effective Date for Change: (Please note: One month notice is required - see Parent Manual, page 19)*

MonthDayYear
Date
Parent Signature*

Clear
Date*

MonthDayYear
Date
Comments:
Should be Empty: