ECE Program Change Form 2026-27
Parent/Guardian Name
*
First Name
Last Name
Child's Name
*
First Name
Last Name
Email
*
example@example.com
What program are you currently/most recently enrolled?
Toddlers
Two's
Preschool
Pre-K
How many days per week is your child(ren) currently attending?
Please Select
3 Days
5 Days
What times is your child(ren) currently attending? (i.e. 9 AM - 3 PM)
Please Select
8:30 am - 12:30 pm
9 am - 3 pm
8 am - 4 pm
8 am - 5:30 pm
7:30 am - 4 pm
Please explain briefly your reason for switching programs?
What program are you changing to?
Toddlers 2026/27
Preschool (Includes TWOS) 2026/27
Pre-K 2026/27
Please select the 2026-27 Toddlers program schedule that you are interested in
5 Day 7 am - 6 pm is $2,200
5 Day 9 am - 3 pm is $1,594
3 Day 7 am - 6 pm is $1,511
3 Day 9 am - 3 pm is $1,052
Please select the 2026-27 Preschool program schedule that you are interested in
5 Day 7 am - 6 pm is $2,000
5 Day 9 am - 3 pm is $1,450
5 Day 8:30 am - 12:30 pm is $1,160
3 Day 7 am - 6 pm is $1,416
3 Day 9 am - 3 pm is $957
2 Day 7 am - 6 pm is $1,008
2 Day 9 am - 3 pm is $702
Please select the 2026-27 PreK program schedule that you are interested in
5 Day 7 am - 6 pm is $1,870
5 Day 9 am - 3 pm is $1,355
5 Day 8:30 am - 12:30 pm is $1,084
3 Day 7 am - 6 pm is $1,353
3 Day 9 am - 3 pm is $894
2 Day 7 am - 6 pm is $962
2 day 9 am - 3 pm is $656
Total
New Balance
Change Effective Date
-
Month
-
Day
Year
Please note: changes are made on the 1st date of each month (unless prior approval)
I agree to the new total listed above and want to amend my previous application
*
Parent/Guardian Signature (Typed)
Submit
Should be Empty: