Renaissance Academy of Martial Arts

Program Cancellation Request

Complete all sections and sign to submit

Submission does not confirm cancellation

Please read before proceeding: Submitting this form is a request only and does not cancel your enrollment. A staff member will follow up with a phone call to evaluate your request. Please continue attending classes and honoring billing until you receive official written confirmation.

Student & Contact Information

Tell us who this request is for

Student Name *

Parent / Guardian Name *

Phone Number *

Email Address *

Program Details

Which program and schedule are you canceling?

Program Name *

Class Days *

Class Times *

Reason for Cancellation

Select all that apply — this helps us improve

Notice & Policy Acknowledgement

Please review our cancellation policy carefully

Cancellation Policy Summary

A 60-day written notice is required prior to cancellation.
The notice period begins on the date this form is received and reviewed by staff.
Tuition continues to be billed during the notice period until the final termination date.
Cancellation is not confirmed until a staff member completes a follow-up evaluation call with you.
No refunds will be issued for tuition paid during the notice period.

Notice Start Date *

Date you are submitting this request

Requested Final Termination Date *

Must be at least 60 days from notice date

I have read and understand the cancellation policy. I acknowledge that submitting this form does not confirm cancellation, and that a follow-up call from staff is required to complete the process. I understand that billing continues during the notice period.

Confirmation & Signature

Sign to make this request official

Date *

Staff Member (optional)

Parent / Guardian Signature *

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Draw your signature above using your mouse or touchscreen

Important — Please Read Before Submitting

Submitting this form does not cancel your enrollment. A staff member will contact you by phone to conduct a brief evaluation of your cancellation request. Your enrollment and billing remain active until you receive official written confirmation of your cancellation.

This request will be sent to [email protected]