Clubhouse Change Form

Clubhouse Change Form

Please complete one form per child. All changes must be submitted using this form, prior to the upcoming month’s cut off date. For each change a fee of $15 will be charged to your account
Clubhouse Location
Parent/Guardian Name

First NameLast Name
Child's Name

First NameLast Name
Email
example@example.com
Phone Number

Area CodePhone Number
Change to
Time - Before School
Days per Week - Before school
Time - After School -
Time - After School-NOTUSED
Days Per Week - After School
Kinder Care & Extended Care
Time - Kinder Care
Days Per Week - Kinder Care
Reason for cancellation

Please note the cutoff date per month in order for tuition changes to be processed and take effect on the 1st of the new billing month.