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Champion Virtual Academy
Schedule Change Request
*
Indicates required field
Student Name
*
First
Last
Parent Name
*
First
Last
Parent Email
*
Current Schedule
*
5 days/ week
4 days/week
3 days/week
2 days/week
1 day/week
Current Schedule
*
Monday
Tuesday
Wednesday
Thursday
Friday
New Schedule
*
5 days/week
4 days/week
3 days/week
2 days/week
1 day/week
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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