Updated Credit Card Form Updated Credit Card Form This form is for families whose credit card on file has expired or is expiring soon, or for those who would like to update/change or add a card on file. We ask that you allow up to 3 business days for this change to take effect. We kindly ask you to keep your credit card updated and fill out this form prior to your card expiring in order to avoid a $25 declined credit card fee and/or loss of your spot. Today’s Date Parent/Guardian Information If you are an adult updating the card for your own lessons, please fill out this section with your own name and information. Parent/Guardian Name * Parent/Guardian Last Name * Email * Phone * Card Details CARDHOLDER Name * Only VISA and MASTERCARD are accepted VISA / MASTERCARD Number * VISA / MASTERCARD Number VISA / MASTERCARD Number VISA / MASTERCARD Number Month 123456789101112 VISA / MASTERCARD Number Year 20252026202720282029203020312032203320342035 VISA / MASTERCARD Number Postal Code * Blanket authorization: I authorize updating this credit card for all students on file. * I understand that this CC will be updated for all students on my file Please note that we cannot be responsible for when you change credit cards or when credit cards expire. We kindly ask you to keep your credit card updated in order to avoid a $25 declined credit card fee and/or loss of your spot. * I understand and will keep my CC up to date to avoid a $25 declined credit card fee Information Review Have you checked to make sure all the above information is correct? * Yes, all the information above is correct Don’t forget to hit submit! Submit
