Enrollment Change Request Form
Month-to-month plan can be cancelled at any time. We will be processed on the date this form is submitted. All cancellations require a minimum of a 30-day notice prior to next billing date to assure cancellation of automatic payments.

If you submit a cancellation with less than 10 days before the end of a billing cycle, your final month will be billed a full 30 days of services.




USA Shaolin Xiu Culture Centre
21732 Provincial Blvd. #100
Katy, TX 77450
832-363-7994
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Email *
Parent Name *
Student Full Name *
What type of change are you making to your enrollment?
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