Care Cancellation

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Care Cancellation

Please complete this form to officially cancel your services with The Discovery Lounge, Inc. Please note there is a two-week waiting period where you will still be charged for care. If you cancel services, you will need to satisfy a new registration fee to rejoin the program. Do not complete this form if do not intend to suspend care with The Discovery Lounge.

Email *

Are you intending to end all care services at this time? *

Yes

What will be your last day of service? *

YYYY

You understand that you will still be charged for services for two weeks from the date of your service end date? Example, if you end service Sept 1, you will be charged through Sept 15 for two weeks. *

yes

We hate to see you go, but would like some feedback. Can you share why you are leaving, and offer any suggestions, compliments, and improvement we could do? *

Moving

Going to new School

Care needs have changed

There was an issue with the program

What is your feedback? *

THANK YOU!!!!

Thank you very much for allowing the Discovery Lounge to care for your student. We appreciate your business and hope we can be of assistance again in the future. There is no need to confirm the form. once you hit submit it will be processed for you!

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