Child's Schedule Change

(Four week notice required)


 Child's Name  Child's Name Class Class   

 Parent's Email  

 I would like to notify Quentin Road Christian Preschool of the following:

  Extra Day Request    Fill in Days Here

  Extended Day Request    Fill in Days Here

  Switch of Days Request-From Start Date To End Date

        (Must be within same week)

  Vacation Time    Fill in Vacation Dates Here

        Use Vacation Credit if available?  Yes   No

  Withdrawal Date Fill in Last Day Attending

 Other/Notes    Fill in details here


Parent's Signature*Filling Out This Box is the Equivalent of Your Signature