Use this form to request account-related changes, including:

• Updating contact or scheduling information
• Requesting a change to your current tutoring plan
• Submitting a cancellation request

All requests submitted through this form are time-stamped and reviewed by Bright Math Tutoring to ensure accurate scheduling and billing.

Please note that submitting this form does not automatically confirm a cancellation or change. You will receive a confirmation message once your request has been reviewed.

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Parent Name (if applicable)

First

Last

change, Email your

Student Name *

First

Last

Email *

Phone Number (without dashes) *

Current Plan *

• Weekly Academic Support Plan
• Intensive Academic Support Plan

What would you like to update? *

• Cancel tutoring services
• Change tutoring plan
• Request schedule change
• Update contact information

Return Workbook (Physical Product) *

• Please include your order number, workbook title, date received, and reason for return in the box below. Physical workbooks must be returned within seven (7) days of delivery, are subject to inspection, include a 25% restocking fee, and must be unused and unmarked.

Please briefly explain your request (cancellation date, schedule change, or update needed).

Acknowledgment (Required) *

• I acknowledge and agree to the following: • Tutoring cancellations take effect at the end of the current week, are prorated based on remaining weeks, include a $37.50 administrative fee, and the current week is non-refundable once started.

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