Cancellation Form
30-day Notice To Cancel Classes
Parent's Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Child's Name
*
First Name
Last Name
Are you needing to drop more then one child?
*
Please Select
Yes
No
Child's Name
*
First Name
Last Name
Child's Name
First Name
Last Name
Child's Name
First Name
Last Name
Do you know your instructors name
*
Yes
No
Instructor
*
Katrina
Michaela
Cassy
Sally
Jordan
Annika
Sam
Nanni
Other
Instructors Name
*
Were you satisfied with your child's instructor?
*
Yes
No
Reason for cancellation?
*
We have other activities scheduled
Taking a break
Not Satisfied with services
PCS (Military)
Were you happy with our facility?
*
Yes
No
Please rate the cleanliness of our facility.
*
Great
Good
Okay
Needs work
Please rate your overall experience at Rock N Chalk Gymnastics
*
1
2
3
4
5
Write a review: (optional)
We love to hear from our parents. How can we make our program better? Any suggestions for the future?
I am giving my 30-day notice per my original contract with Rock N Chalk gymnastics. I acknowledge that by signing and submitting this request I am releasing the reserved class time that my child currently holds and that if I choose to I will have to re-register for classes to resume services. I understand that my child will still be able to attend for the next 30 days and that appropriate charges per contract for that month will still be charged.
Thank you for attending Rock N Chalk Gymnastics Academy. We appreciate your business and hope to see you return.
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