Automatic Withdrawal Form

I give Flip Force San Diego permission to automatically withdraw my monthly tuition for classes that my child/children or myself are enrolled in. I understand that if I would like to cancel my automatic withdrawal, I need to give at least one week notification to stop the payment by turning in a cancellation form request. If I do not give one week notice, I understand that I will receive a $25 charge to reverse any unwanted change.

Withdrawal Agreement:

  • Please type your full name (First / Last)
  • Date Format: MM slash DD slash YYYY
    Today's date