2023-2024 Satellite Site Contract Amendment Form

Satellite site contract amendment form

2023-2024 Satellite Site Contract Amendment Form

Child's Name: *

First

Last

Parent/Guardian's Name: *

First

Last

School: *

Bready
EMBM
Holy Family

*Please note, changes/cancellations to your initial agreement require written notice BEFORE the 1st day of the month affected. For example, if you would like to cancel/change for October, you must submit this form by September 30th (or earlier).

Please indicate the CURRENT contract:

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

Please indicate the NEW contract:

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

Contract amendments will only be accepted by completing this form and submitting it to the Main Office (in-person, online, or email). Changes will not be accepted over the phone. Our office hours are 8:30am-3:30pm Monday to Friday.

Address: 1301-104th Street, North Battleford, SK S9A 1N9 / Phone: (306) 445-0002 / Email: ac.bcgb@ofni

Date:

Signature of Parent/Guardian: *