Membership Cancellation

Parent Name(Required)
Childs Name(Required)

On a scale of 1 – 5, how likely are you to refer us to a friend?(Required)
What program are you cancelling from?(Required)

DD slash MM slash YYYY
Terms of Cancellation(Required)

I acknowledge that I am ending my contract with Star Spirit. I do not own any fees, any monies I may owe I give authority to debit my registered card. I acknowledge that if I submit this form after the 23rd of the month I will still be charged for the following month (billing cycle), I know that my child can still attend for that month.

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Your Name(Required)
Your Email Address(Required)
What would you like to connect with us about?(Required)

This field is for validation purposes and should be left unchanged.