Summer Pause Form

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Summer Pause Form

I would like to pause my family account for Summer classes, we will be returning for next School Year classes.
Student 1 Full Name:*
First Last
Class:*
Student 2 Full Name (if necessary):
First Last
Class:
Student 3 Full Name (if necessary):
First Last
Class:
Reason for pause:*
Additional Notes:
Please discontinue automatic payments to my credit card on file. I understand that my child's spot in that class is no longer held once I pause. Students may attend special activities without being enrolled in a class and may return to the class program at any time. Evaluation skill sheets are kept on file for one year. Enrollment fees are good for one year from the date of payment.
Electronic Signature (type your name)*
Date*
MM slash DD slash YYYY
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5411 Jedmed Ct.
St. Louis, MO 63129
314-892-6909
[email protected]

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