Class Cancellation Form
* Required
Parent's Name
*
Your answer
Parent's email
*
Your answer
Student's Name
*
Your answer
Which Program are you looking to cancel?
*
Rover - Intro to Scratch Level 1
Rover - Intro to Scratch Level 1
Apollo - Scratch Programming Level 1
Apollo - Scratch Programming Level 2
Apollo - Code4Math
Apollo - 3D Design with Coding and Geometry
Apollo - Digital Making with Micro:bit
Apollo - Modding with Minecraft
Falcon - Web Programming Level 1
Falcon - Web Programming Level 2
Falcon - Python Programming Level 1
Falcon - Python Programming Level 2
From which date onward would you like to cancel the classes?
*
MM
/
DD
/
YYYY
What is the reason for canceling the classes?
*
Busy schedule
Academics
Lack of interest
Want to take a break
Financial concerns
Instructor concerns
Other
Would you like to request another instructor instead of canceling the classes?
*
Yes
No
Would you consider signing up again with us in the future?
*
Yes
No
Maybe
Your feedback is very important to us. Please let us know if there is anything you would like for us to know to improve our service.
*
Your answer
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