PlayActive cancellation form
If you are cancelling more than one child, you will need to submit a separate form for each child.
Parent Details
First Name:
Last Name:
Contact Number:
Email Address:
Student Details
Student's Name:
PlayActive Class:
PlayActive Class Day:
Reason for cancellation:
Confirmation
Please confirm the following:
Please take this as my written notice that I would like to cancel the PlayActive program.
I understand all outstanding payments must be paid.
I understand that there are no refunds and that I will receive a credit for any remaining classes.
I acknowledge I have authority to submit this form.