palatine park

C.A.R.E. Schedule Change / Withdrawal Form

Important Notes About Schedules Change Requests:

  • Requests to add before- or after-school CARE to your child’s schedule will be approved based on availability.
  • If you withdraw from an after-school option, re-enrollment is not guaranteed.
  • Schedule changes received by the 25th of the month will take effect with the following month’s billing.
  • All approved schedule changes will be charged a $10 fee
  • All approved refunds will be applied as a household credit unless otherwise requested. If another form of refund is requested, an additional $5 processing fee will be applied.

C.A.R.E. Schedule Change / Withdrawal Form

"*" indicates required fields

Childs Name*
Parent's Name*
C.A.R.E Site*
Request Type (Select All that Apply)*
If switching to part-time, select days child would attend:
Billing Effective Date
This is the date the change in billing will take effect as long as the schedule change request is submitted 5 business days prior to the effective billing date.
Child's Last Day of Attendance
If the Child’s last day of attendance is different than the last attendance date of the billing cycle.
Type of Refund Requested