Parent's Name (if under 18)

Student's First Name

Student's Last Name

Email Address

Phone Number

Select Number of Classes You Would Like to Upgrade to Per Week (required) - please note an additional family member discount of $1/lesson will be automatically applied if you meet the requirements for it
—Please choose an option—30 minute class x 2 ($31/wk)45 minute class x 2 ($33/wk)60 minute class x 2 ($35/wk)60 Minute Class x 1 and 45 minute Class x 1 ($34/wk)Unlimited Classes of Any Type($47.5/wk)

Should the change start this week or next week? (weeks run from Monday-Sunday)
Starting This WeekStarting Next Week

How Long Should We Make this Change For? - If let blank we will change the membership until you email us to change it back
Until I Change it Back by Sending an EmailUntil the Main Gradings on the 15th/16th of NovemberUntil the Make Up grading on the 22nd of November

I am aware my payments for classes will be altered according to the form above