Change My Enrollment

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This form is provided for your convenience should you need to change or cancel your PCS enrollment.

If you need to withdraw and cancel your enrollment, this form must be submitted before the 1st of the new month to avoid incurring the next month's tuition charge.

"*" indicates required fields

Name of Parent or Adult*

First Last

Email used for enrollment*

Enrollment email Confirm Email

Phone*

Name of Student*

First Last

Please enter the name of the student for whom the scheduling change or withdrawal request is being made.

Current Teacher*

Current Class or Lesson Location*

Current Class or Lesson Day and Time*

I would like to...*

Transfer to a different Kindermusik class

Change my lesson day, time, location, or teacher

Pause my enrollment

Withdraw from the program

New Kindermusik Class Scheduling Request*

Please list preferred day, time, and location of class day to which you'd like to transfer.

New Scheduling Request*

Please list preferred day, time, location, and/or teacher.

I would like to return to classes or lessons on:*

Your current enrollment*

Which of the following best describes your situation?*

Reason for Withdrawal Request

These changes should take effect on the following date:*

Comments

Name

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

Change My Enrollment

Change My Enrollment

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