Little Stars Change Request Form

Little Stars Change Option/Withdrawl Request

Child's Name(Required)

First Last

Parent's Name(Required)

First Last

Cell Phone(Required)

Other Phone

Please choose your request(Required)

Withdrawl

Switch Option Plans

Today's Date(Required)

Effective Date*(Required)

*Two weeks notice required

Withdrawl

Reason for Withdrawl(Required)

Switch Option Plans

Current Option Plan(Required)

Option Fee

New Option Plan(Required)

Option Fee

Please choose the days your child will be attending:(Required)

Monday

Tuesday

Wednesday

Thursday

Friday

Date(Required)

Hoffman Estates Park District | Hoffman Estates, IL

HEParks

Park Board

Become Involved

Registration

Programs

Sports

Preschool and Care

School Aged Care

Camp

Hockey

Figure Skating

Ice Schedules

Little Stars Change Request Form

Little Stars Change Option/Withdrawl Request

Withdrawl

Switch Option Plans

Programs & Sports

Parks & Facilities

Child Care

Ice Programs

Hoffman Estates Park District | Hoffman Estates, IL

HEParks

Park Board

Become Involved

Registration

Programs

Sports

Preschool and Care

School Aged Care

Camp

Hockey

Figure Skating

Ice Schedules

Little Stars Change Request Form

Little Stars Change Option/Withdrawl Request

Withdrawl

Switch Option Plans

Programs & Sports

Parks & Facilities

Child Care

Ice Programs

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