Class Change Request

Parent/Guardian Name *

First

Last

Email *

Student's Name *

First

Last

I would like to: *

Current Class Attending *

Current Days Attending *

Current Days Attending *

Current Time Attending *

I Would Like To: *

Class Wanting to Change To OR To Add *

I am Interested In: *

Days Wanting to Attend *

Check all that apply for availability

Times Wanting to Attend *

Check all that apply for availabilty

Please List reason for wanting to change classes: Subject to the Waiting List! *