Request Form


    Registration Number
    Phone Number
    Student's First Name
    Student's Last Name

    If you do not have a registration number
    Email Address
    Class Location
    Class Type
    Dance Form
    Please select the most appropriate option : Quitting Class & Stop PaymentPause Payment For SometimeGoing On Vacations & Pause PaymentNone of The Above

    If you don’t receive an email copy of this form within 30mins after the submission, please contact us.
    Message (Explain Request Details e.g. Dates for Stopping Payment)