Center Holiday & School Closure Form

CENTER HOLIDAY & SCHOOL CLOSURE FORM
Instructions: Complete this form if your Center is going to be closed for the day(s), a portion of the day or for a Holiday
Center’s Name*
Center’s Address
City
State
Zip
Name of Person Completing this form*
Phone number*
Email*
example@example.com
Closure 1 | Date

MonthDayYear
Date
Closure 1 | Reason

HolidayWeather/EmergencySchool ClosingOther
Time

Hour Minutes

AM/PM Option

Until
until
Hour Minutes

AM/PM Option
Notes:
Closure 2 | Date

MonthDayYear
Date
Closure 2 | Reason

HolidayWeather/EmergencySchool ClosingOther
Time

Hour Minutes

AM/PM Option

Until
until
Hour Minutes

AM/PM Option
Notes:
Closure3 | Date

MonthDayYear
Date
Closure 3 | Reason

HolidayWeather/EmergencySchool ClosingOther
Time

Hour Minutes

AM/PM Option

Until
until
Hour Minutes

AM/PM Option
Notes:
Closure4 | Date

MonthDayYear
Date
Closure 4 | Reason

HolidayWeather/EmergencySchool ClosingOther
Time

Hour Minutes

AM/PM Option

Until
until
Hour Minutes

AM/PM Option
Notes:
Authorized Signature

Clear
Date

MonthDayYear
Date
Note: All Center Closing must be submitted into YES office at least 3 or more days prior to the closing.
Should be Empty:

CENTER HOLIDAY & SCHOOL CLOSURE FORM