Class Change Request

LOGREA DANCE ACADEMY
Class Change Request
Student Name*
Parent Name*
Phone Number*
Email Address*
Title of Class, Day and Time student is currently registered in
IF Doing A Class Switch
I Would Like To:*

Add A Class (No Charge)Switch a class day (same level) ($15 Fee)
NOTE: There is a $15 fee for making a class change for each class being changed. Please submit a separate form for each class change you would like to make.
Complete Below If: This is a Class CHANGE

Scroll down to next section if ADDING a Class
Title of Class, Day and Time student would like to change to
Reason for Change
Complete Below If: If ADDING a Class
Classes To Be Added
IF this added class is a different level, was this class approved after evaluation?

YESNO
NOTE: Once you submit this form, we will determine if there is room in the class that you wish to change into, and will let you know when the request has been approved.
Please indicate your payment method*

Please charge the $15 fee to my credit card on file at LDAPlease use an existing credit on my account for this feeI will pay in person the next time I am at the studio with Cash or CheckThis change is at the Instructor's recommendation: no fee dueThis change is made prior to the start of classes and no fee is dueAdding A Class: No Charge
Additional Comments
Should be Empty: