Change in Enrollment Request Form

We love having you in our classes and will be sad to see you go, but we also understand that sometimes change is necessary. Please share below how we can best assist you in this change. If you need a schedule change, we are happy to help you find a place in another class. We truly appreciate any feedback you can give about your enrollment change request.

Requesting a Change in Enrollment:

-Fill out the form below by the 25th of the month. Only changes made by the 25th will avoid charges the next month. No refunds will be given once payment runs for the month on the 1st.

-Look for an email from our office indicating we received your change in enrollment form below. Requests made by email for change in enrollment will not be accepted and you will be directed to fill out this form.

Name of Parent/Guardian

First Name

Last Name

Name of Child

First Name

Last Name

Email associated with enrollment

Phone

(###)

###

####

Current Class Day/Time

Teacher Name

Change request

Change to another class/time

Pause enrollment and return later

Withdraw from program

Reason for change

Any particular reason for the change?

When would you like for this change to take effect?

If there is a particular date you would like this to take effect, please indicate below. All other requests will occur at the end of the current month.

MM

DD

YYYY

Acknowledgment of the change in enrollment policy

I acknowledge that if I change my enrollment after the first of the month, I have already been charged for the current month and no refunds or credits will be given. My enrollment will run through the end of the current month.

I understand.

Change in Enrollment Request Form

Offerings

Links