GYM U DROP FORM

1
PARENT OR GUARDIAN NAME* This field is required.
First Name
Last Name
2
STUDENT'S NAME* This field is required.
First Name
Last Name
3
CHILD'S CLASS DAY AND TIME* This field is required.
Date
Year
Month
Day
5
1
2
3
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5
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9
10
11
12
Hour
25
00
01
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58
59
Minutes
AM
AM
PM
4
Child's Date of Birth
Date
Year
Month
Day
5
DROP DATE (LAST DAY OF CLASS)* This field is required.A 30 DAY NOTICE IS REQUIRED TO STOP BILLING
Date
Month
Day
Year
6
DROP REASON(S)* This field is required.
MOVING
TAKING A BREAK
STUDENT LOST INTEREST
TEACHER CONFLICT
STUDENT CONFLICT
OTHER SPORTS
HEALTH OR INJURY
OFF TO COLLEGE : )
7
A 30 DAY NOTICE IS REQUIRED TO DROP A CLASS AND/OR TERMINATE AUTO BILLING.

YOU WILL RECEIVE AN AUTOMATED EMAIL CONFIRMATION / DROP RECEIPT. PLEASE KEEP THIS FOR YOUR RECORDS.

Please note: You are responsible for payment for your child’s classes WHETHER OR NOT YOUR CHILD ATTENDS CLASS until the time you notify us of your drop status. Please do not rely on your child to verbally let us know that he/she will no longer be attending classes.
8
I am the legal Parent or Guardian and I am age 18 or older. PROCEED WITH DROPPING MY CHILD FROM CLASS.
Clear
9
IS THERE ANYTHING YOU CAN SHARE THAT WILL HELP US IMPROVE GYM U?
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