Membership Extension

Request to extend enrollment agreement due to time away:

As a student of Shaolin Kung Fu Center of Hadley, you have the option to request an extension on your enrollment period if you or your child are away for vacation or if you have an unavoidable scheduling conflict that prevents you from training (for example, work scheduling, business travel, etc).  This form can also be used for time away due to medical condition or family emergency.   It is unusual for membership-based to offer this privilege to participants.  In most centers, if you sign up for a term membership, it’s good for that term, regardless of whether you use the services or not.  We are glad to offer this privilege as we want our students to have the opportunity to get the most out of their enrollment as possible.  We keep classes going during school holidays and the summer months and want students to have the opportunity to stay enrolled even if they are away part of the time.  We trust students not to misuse this privilege.   For students set up with automatic renewal through Member Solutions, we will extend your auto-renewal date.

This form must be received 2 calendar weeks before the start date of vacation or other missed time.  (Except in cases of unexpected medical absence or family emergency.)
Parent Name:
Student Name:
 Reason: Vacation*



*minimum 2 weeks, feel free to combine multiple vacations into one request.  Use comment section below to indicate additional vacation times.  If your child is attending a camp and we are holding classes that week, that is not eligible for an extension.

**Medical:  Note from doctor or other medical professional required.  If the student is not able to physically participate in classes for a period of more than 3 months, student may request a refund for their time away, as long as a doctor’s note is provided.

Start Date:
End Date:
Total Duration:

If your request is approved, Shaolin Kung Fu Center of Hadley will extend your current enrollment agreement by the total duration indicated above.  

EXAMPLE: Original expiration date: 7/1/15

Duration of extension request: 3 weeks

Extended expiration date: 7/21/15

  • This form must be received no less than 2 weeks prior to requested time away (except in cases of medical or family emergency)
  • We will not approve extensions retroactively, except in the case of medical issues (doctor’s note required) or family emergency such as grave illness or death in the family.  
  • We offer extensions for periods of a minimum of 2 (calendar) weeks up to 6 months.
  • Extensions will not be approved if student owes tuition or any other balance to the school. They may be approved if that balance is paid in a timely way.
  • If you or your child is attending a camp or special event, and we are holding classes that week, we will NOT honor a request that includes that camp week.  Camps and other special events are not a reason for an extension.
  • You or your child "didn't feel like training" is not reason for us to grant an extension.
  • For vacation or other reasons, students can request up to 3 extensions per year.   Feel free to combine more than one vacation per request.  There is no limit on medical extensions.
  • Except in medical or family emergencies, we will not add on time to extensions once a request has been approved. 

Thank you for taking the time to fill out this form.  We will notify you via email as to whether your request is approved.
Please feel free to contact us if you have any questions at 413-364-7734

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