PŪR Academy Program Cancellation Form
To effectively cancel your child from a PŪR Academy Program, please submit your cancellation form no later than October 31st. 1/3 of the tuition and registration fee are non-refundable and non-transferable. All cancellations are subject to an administration fee listed below. There are no refunds after October 31st.
Your Full Name (parent/legal guardian) *
Your answer
Your Child's Full Name *
Your answer
Your Email Address *
Your answer
Your Mobile Number *
Your answer
Please select your child's current PA Program *
What program is your child currently enrolled in?
Reason for cancellation *
Your answer
Cancellation Type *
Please process my request and charge my card on file. *note: processing time may take up to 5 business days *
Required
Submit
Never submit passwords through Google Forms.
This form was created inside of PUR Movement.