2017-2018 After School REMOVAL form

  • Short term removal

    Only complete this portion if your child will be returning to the program. If your child is receiving support from Early Learning Coalition (ELC), you must complete additional paperwork for the absence. See office staff for details.
  • Ex. If your child will be out for one week, put the date that corresponds with Monday of that week.
  • Ex. If your child will be out for one week, put the date that corresponds with Friday of that week.
  • Permanent removal

    Only complete this portion if your child will no longer participate in the 2017-2018 After School Program.
  • Ex. Put the Friday of your child's last week.
  • Reason for removal

  • If it is a short term removal, please be specific (i.e., child illness, spending a week with grandparents, etc.). For permanent removal, please let us know why you have made this decision and be specific. We are eager to make any necessary improvements and we cannot do that without your feedback. Thank you.