Parent Last Name (*)

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Parent First Name (*)

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Phone Number (3202513416 format) (*)

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Email (*)

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Reason for request
Discontinue all students from all classes
Drop a particular student or class
Add a new class
Request class change
Request tuition balance
Request fpr absence coupon
Change billing information
General

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Student Last Name (*)

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Student First Name (*)

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Date of Birth (12/01/2010 format) (*)

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Current Class Day and Time (*)

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New Class Day and Time

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Student #2 Last Name

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Student #2 First Name

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Current Class Day and Time

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Date of Birth (12/01/2010 format)

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New Class Day and Time

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Reason for Change or Question (*)

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*Discontinuing - Please remember that if this notice is received after the 15th of the month, you may be charged for the next month's tuition. There are no tuition adjustments for canceling classes mid-month.

*Class Changes - Changes in class enrollment are dependent on current class openings. Do not begin attending a different class until you have received a confirmation e-mail. If a change in class results in a change in your tuition you will be responsible for any balance due. Your confirmation e-mail will include that information.

*Tuition Balance - For confidentiality and security, you must confirm the last four digits of your credit card number that is on file at North Crest for your account in the "Reason for Change" field. You will receive the tuition balance in the form of an e-mail following confirmation.

I have read and accept the above policies (*)
Agree

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