Contract Change Form

Contract Change Form:

1.
*

Name

2.
*

Child's Name

3.

Child's Current Schedule

Monday - AM   JK Session 1 - Monday
Tuesday - AM   JK Session 1 - Tuesday
Wednesday - AM   JK Session 1 - Wednesday
Thursday - AM   JK Session 1 - Thursday
Friday - AM   JK Session 1 - Friday
Monday - PM   JK Session 2 - Monday
Tuesday - PM   JK Session 2 - Tuesday
Wednesday - PM   JK Session 2 - Wednesday
Thursday - PM   JK Session 2 - Thursday
Friday - PM   JK Session 2 - Friday
Hourly   Rotating (Monthly calendar provided by guardian)
4.

Child's New Schedule

Monday - AM   JK Session 1 - Monday
Tuesday - AM   JK Session 1 - Tuesday
Wednesday -AM   JK Session 1 - Wednesday
Thursday - AM   JK Session 1 - Thursday
Friday - AM   JK Session 1 - Friday
Monday - PM   JK Session 2 - Monday
Tuesday - PM   JK Session 2 - Tuesday
Wednesday - PM   JK Session 2 - Wednesday
Thursday - PM   JK Session 2 - Thursday
Friday - PM   JK Session 2 - Friday
Hourly   Rotating (Monthly calendar provided by guardian)
5.
*

This Contract will take effect:

Please remember a contract change form must be done two weeks before the change is to take place.

 

* Enter Your Email Address:

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Last Updated: 11/18/16
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  • School District of Somerset
  • P.O. Box 100, 639 Sunrise Drive, Somerset, WI 54025
  • Phone: (715) 247-3313 | Fax: (715) 247-5588