2024-2025 Satellite Site Contract Amendment Form

2024-2025 Satellite site contract amendment form

Child's Name: *

First

Last

Parent/Guardian's Name: *

First

Last

School: *

Before School Program:

Full-time - child can attend the program on all school days (approximately 20 days per month) - $125/month
Part-time – child can attend the program a max of 12 days/month - $80/month
Casual - child can attend the program a max of 5 days/month - $35/month
Not Applicable

After School Program:

Full-time – child can attend the program on all school days (approximately 20 days per month) -$250/month
Part-time – child can attend the program a max of 12 days/month - $160/month
Casual - child can attend the program a max of 5 days/month - $70/month
Not Applicable

Before School Program:

Full-time - child can attend the program on all school days (approximately 20 days per month) - $125/month
Part-time – child can attend the program a max of 12 days/month - $80/month
Casual - child can attend the program a max of 5 days/month - $35/month
Not Applicable
Full Cancellation – no longer requiring before school services

After School Program:

Full-time – child can attend the program on all school days (approximately 20 days per month) -$250/month
Part-time – child can attend the program a max of 12 days/month - $160/month
Casual - child can attend the program a max of 5 days/month - $70/month
Not Applicable
Full Cancellation – no longer requiring after school services

Is this a permanent or temporary change? *

When do you wish the changes to be effective from? *

Start Date *

End Date *

Date:

Signature of Parent/Guardian: *