Schedule Change Form

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Schedule Change Request

* Indicates required field

Student Name *

First

Last

Parent Name *

First

Last

Parent Email *

Current Schedule *

Monday Tuesday Wednesday Thursday Friday

New Schedule *

Monday Tuesday Wednesday Thursday Friday

Date to start the new schedule *

Request Date *

By submitting this form, I acknowledge and agree to the following: *

I understand that schedule changes require 14 days notice in advance I understand that any cancellations/refunds require 30 days notice. I understand that a change in schedule that affects a change in my financial obligation will not be refunded unless there is a 30 day notice. I understand that my request may not be approved for the date above if I do not provide notification in a timely manner. I understand that not all changes may be accommodated.

Submit

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Home
About CLA
Champion Virtual Academy
Onsite After School
Activities