Summer Fun Schedule Change Form Child's Name Child's Home School Parent's Name Parent Email Address Please check the dates you would like to schedule care below. If you need all of the days in any week, you can select the checkbox in blue next to "Full Week" and it will fill the whole week in for you.This submission will replace your original schedule, so please be sure to mark all dates that you need care with a checkmark.All dates that you do not need care should be unchecked. Full Week 6/17-21 June 17 June 17 June 18 June 18 June 19 June 19 June 20 June 20 June 21 June 21Full Week 6/24-28 June 24 June 24 June 25 June 25 June 26 June 26 June 27 June 27 June 28 June 28Full Week 7/1-5 (MLEDP Closed Thursday July 4) July 1 July 1 July 2 July 2 July 3 July 3 July 5 July 5Full Week 7/8-12 July 8 July 8 July 9 July 9 July 10 July 10 July 11 July 11 July 12 July 12Full Week 7/15-19 July 15 July 15 July 16 July 16 July 17 July 17 July 18 July 18 July 19 July 19Full Week 7/22-26 July 22 July 22 July 23 July 23 July 24 July 24 July 25 July 25 July 26 July 26Full Week 7/29 - 8/2 July 29 July 29 July 30 July 30 July 31 July 31 August 1 August 1 August 2 August 2 Parent/Guardian Signature Sign above by holding down the left button of your mouse of by using your finger in the gray area. Date Submitted Leave this field blank
