Cycle Registration and Scheduling

 

Please fill out the following to submit your child’s schedule for the upcoming cycle or to make changes to your child’s current schedule. This form is only for current BWF clients.

 

    Child's Code

    Date of Birth

    Mother's Name

    Father's Name

    Home Address (include city, state, zip)

    Phone Number

    Your Email

    Registering for:

    What programs is your child involved with?
    IIPPALSTIESCALSGroups onlyBLIPBLIP onlyConsultationPREPAcademy

    Is this a change to your original schedule for the current cycle?
    *Note: All schedule changes made after each cycle deadline or without 30 days notice will be subject to a $50 registration fee.
    YesNo

    Your Preferred Schedule Options:
    *Please note that PALS and TIES students may only come from 2:00 to 6:00 PM on week days. There is limited availability on Saturdays. If the BWF cannot schedule your child on a Saturday, the BWF will use your alternate schedule option or contact you. If your child is only attending for group sessions, please choose Not Applicable below and the BWF will contact you regarding the appropriate group and schedule.
    Monday
    8 - 108 - 118 - 129 - 119 - 121 - 31 - 41 - 62 - 42 - 63 - 64 - 6Not applicable
    Tuesday
    8 - 108 - 118 - 129 - 119 - 121 - 31 - 41 - 62 - 42 - 63 - 64 - 6Not applicable
    Wednesday
    8 - 108 - 118 - 129 - 119 - 121- 31- 41 - 62 - 42 - 63 - 64 - 6Not applicable
    Thursday
    8- 108- 118- 129- 119- 121- 31- 41- 62- 42- 63- 64- 6Not applicable
    Friday
    8- 108- 118- 129- 119- 121- 31- 41- 62- 42- 63- 64- 6Not applicable
    Saturday
    9- 121- 31- 53- 5Not applicable

    Preferred Schedule to Start:

    Your Alternate Schedule Options:
    *Please note that PALS and TIES students may only come from 2:00 to 6:00 PM on week days. There is limited availability on Saturdays. If the BWF cannot schedule your child on a Saturday, the BWF will use your alternate schedule option or contact you. If your child is only attending for group sessions, please choose Not Applicable below and the BWF will contact you regarding the appropriate group and schedule.
    Monday
    8- 108- 118- 129- 119- 121- 31- 41- 51- 62- 42- 52- 63- 53- 64- 6Not applicable
    Tuesday
    8- 108- 118- 129- 119- 121- 31- 41- 51- 62- 42- 52- 63- 53- 64- 6Not applicable
    Wednesday
    8- 108- 118- 129- 119- 121- 31- 41- 51- 62- 42- 52- 63- 53- 64- 6Not applicable
    Thursday
    8- 108- 118- 129- 119- 121- 31- 41- 51- 62- 42- 52- 63- 53- 64- 6Not applicable
    Friday
    8- 108- 118- 129- 119- 121- 31- 41- 51- 62- 42- 52- 63- 53- 64- 6Not applicable
    Saturday
    9- 119- 1210- 121- 31- 53- 5Not applicable

    Alternate Schedule to Start:

    Please include any additional information or conflicts such as vacation time or doctor appointments you would like the BWF to know regarding your child's schedule.

    I understand that the Brent Woodall Foundation (BWF) may not be able to accommodate all preferred schedules, but will do everything it can to use my preferred schedule. I understand that if my preferred schedule does not work, the BWF will use a combination of my preferred and alternate schedule. I understand that I will be charged a $50 registration fee if my schedule is turned in after the cycle registration deadline and without 30 days notice. I understand that the BWF will contact me with my child's cycle schedule approximately two weeks prior to start of the new cycle.

    Type Electronic Signature:

    Today's Date: