Get Child Care Program Change/withdrawal Form - Lakotaymca.com

Navigating the CHILD CARE PROGRAM CHANGE/WITHDRAWAL FORM can be straightforward when you have clear instructions. This guide will assist you in filling out the form accurately and efficiently.

Follow the steps to complete the form successfully.

1. Click the ‘Get Form’ button to access the form and open it in your preferred editor.
2. Enter the date in the 'Today’s Date' field to indicate when you are completing the form.
3. Fill in your child or children's name in the designated 'Child/Children’s Name' section.
4. Provide the parent or guardian's name in the 'Parent/Guardian’s Name' field.
5. Input your email address in the 'Email Address' field for future correspondence.
6. Add your phone number in the 'Phone #' field to ensure the billing department can contact you if necessary.
7. Indicate the reason for withdrawal in the 'Reason for withdrawal' section to clarify your request.
8. Specify the requested effective date for the changes in the 'Requested Effective Date' field.
9. Select the changes to make for your child’s account by marking the corresponding boxes in the options available.
10. If you wish to receive an email confirmation of your change, please initial in the designated box.
11. Review the completed form for accuracy and ensure all necessary fields are filled out.
12. Once satisfied, save the changes, download or print the form to submit it.

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