You can always press Enter⏎ to continue
Welcome
Hi there, please fill out and submit this form.
7
Questions
START
1
Student's Name
*
This field is required.
First Name
Last Name
Previous
Next
Submit
Press
Enter
2
Parent's Email Address
*
This field is required.
example@example.com
Previous
Next
Submit
Press
Enter
3
Parent's Phone Number
*
This field is required.
Please enter a valid phone number.
Previous
Next
Submit
Press
Enter
4
Subject Enrolled
*
This field is required.
Please Select
Reading
Math
Math and Reading
Please Select
Please Select
Reading
Math
Math and Reading
Previous
Next
Submit
Press
Enter
5
Subject to withdrawl/pause
*
This field is required.
Please Select
Reading Only
Math Only
Math and Reading
Please Select
Please Select
Reading Only
Math Only
Math and Reading
Previous
Next
Submit
Press
Enter
6
Reason for withdrawl/absence
*
This field is required.
Previous
Next
Submit
Press
Enter
7
Termination Policy
Notice of withdrawal/transfer must be sent by the 3rd of the month to stop auto-payments for the following month. In accordance with Kumon's 30-day cancellation policy, final tuition fees for notices received after the 3rd of the month will be processed the following month and we will continue to service your child until the final day.
(eg. withdrawal/transfer notice received on May 7th - last tuition will be processed on June 1 and we will continue to service the student(s) until June 30th)
Tuition is pro-rated for the first month only according to the day of the month enrolled.
Previous
Next
Submit
Press
Enter
Should be Empty:
Notice of Absence, Transfer or Cancellation
[Edit]
Question Label
1
of
7
See All
Go Back
Submit