Cancellation Request Form

Cancellation Request Form

Policy: Please allow 3 business days for your request to be processed. All cancellation request must complete this form 30 days prior to desired last day of participation. Your student will be removed from the roster 30 days past the submittal date on this form. Any and all scheduled payments within those 30 days will still draft as scheduled.
Today's Submittal Date*

MonthDayYear
Date
School or Park Program Location Name*
Student Name*

First NameLast Name
County*
Date Requested for Cancellation

Please enter the date of the last day attending programming or class. The 30-day policy will still apply but it helps us to inform our team.
Last Class Date

MonthDayYear
Date
Reason & Feedback*
Please share the reason for the cancellation request. This is very important to us as we are always looking to improve and it helps us to address any situation that requires attention to keep the quality of our programming high.
Parent / Guardian Name*
Email*
Must match email on the account
Confirmation*

I understand that in submitting this form I am requesting that my child be removed from the requested Soccer Shots specified above and agree to the above stated 30 date cancellation policy.
Parent/Guardian Signature*

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