Use this form to initiate a change in your child's Extended Care. Please note that all monthly billing plans will be pro-rated to the nearest half-month.

Please select ONE of the following options.

Note that if you are changing from a regular monthly plan to A La Carte, please select "CHANGE" rather than "CANCEL".

If you have selected CHANGE, please let us know which programs you are changing FROM and TO:

Please adjust the billing on my account to reflect the changes noted above. I understand that all monthly billing amounts will be pro-rated to the nearest HALF-MONTH.