Student's First Name (if you have more than one child please separate the names with commas)

Student's Last Name

Name of Person Submitting the Form

Email Address (your confirmation of filling in this form will be sent to this address)

Phone Number

When would you like to cancel from? (please note: if less than 2 weeks notice is provided, any fees deducted before our office is able to process the cancellation will not be refunded).

Reason For Cancellation

After you submit this form, a confirmation copy will be sent to the email address you provided as proof of submission. If you do not receive this email, your submission may not have been successful—please contact us at accounts@maqld.com