Odessa Extreme Allstars Drop Form

Odessa Extreme Allstars Drop Form
Parent Name (Account Holder)*

First NameLast Name
Email*
example@example.com
Student Name*

First NameLast Name
Class*
Class Day/s & Time*
Account Type ?*

ACHCredit/Debit Card
Reason For Drop ?*
Additional Comments:
Date To Drop*

MonthDayYear
(30 Days from today)
Please note: It takes 30 days to process your drop request. Your drop date will be 30 days from the date this form is submitted.

By signing below, you are acknowledging the 30-day drop policy and confirming the withdrawal of your student from classes. You understand your drop will be processed 30 days from the date this form is submitted, and you are responsible for any tuition or fees incurred during that period.
Signature*

Clear
Should be Empty: