Cirque-ability Class Drop Request Form
Required for any student who wishes to withdraw from a class or program with Cirque-ability . Please read the following policy below prior to completing this form:

CLASS CANCELLATION POLICY

Registration is final with no refunds. If you are injured and we cannot provide you with suitable alternatives or a suitable class change, with a Doctor’s note, we will provide a refund for the remaining classes minus a $50 withdrawal fee.
Any other exceptions to the refund policy will be for a transferable credit on file which will be subject to a $50 withdrawal fee and will be approved or declined on a case by case basis.

Please note:
If you are unsatisfied with a program or coach, please contact the office before requesting a drop. We will not approve refunds for issues that have not been brought to our attention or that we have not had a chance to resolve.

Upon receiving this form, we will remove the student mentioned below from the class(es) listed below on the form. Classes that haven't been cancelled with 24 hour notice are not eligible for refund/credit.

Student name *
Current class(es) & time(s) that you are requesting to drop *
Reason for withdrawal request *
Required
If your (your child's) injury occurred at Cirque-ability, please describe:
Other (Please describe reason for request to withdraw)
Please note: If you are unsatisfied with a program or coach, please contact the office before requesting a drop. We will not approve refunds for issues that have not been brought to our attention or that we have not had a chance to resolve.
Form completed by :
Required if completing a form for a minor. Must be a parent or guardian listed as a contact in child's profile.
Date request submitted. *
MM
/
DD
/
YYYY
Please allow up to a week for a refund to be approved. *
Please upload your dr's note. Requests without a doctor's note are only eligible for class credit.
Submit
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