4-WEEK SUBSCRIPTION MODIFICATION NOTICE FORM

Acknowledgment & Terms
I understand that this cancellation request requires a full four-week notice and that my subscription (or specific sessions) will remain active until the last active session date stated above.*

I understand.
I understand that I am responsible for all payments and sessions during this four-week period, and that payments will continue on my regular billing schedule until my last scheduled session.*

I understand.
I understand that there are no refunds, credits, or prorated adjustments for unused sessions.*

I understand.
I understand that if I choose not to attend my remaining scheduled sessions, they will be forfeited.*

I understand.
I acknowledge that this form serves as my formal cancellation request, and I will not dispute or request chargebacks for any charges that align with the final billing period outlined in this notice.*

I acknowledge.
I confirm that I am the authorized account holder and am submitting this request as the parent/guardian of the enrolled student.*

I confirm.
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4-Week Subscription Modification Notice Form