Withdraw Request Students Name(Required) First Last PhoneEmail(Required) Class Name, Day, and Time(Required)Term Fall Winter Spring March Break Summer Workshop Reason for WithdrawalI would like a:(Required) Refund Keep as credit on file Final Four Digits of Credit Card(Required)Expiration Date(Required) MM slash DD slash YYYY Agree to terms(Required) Yes I agree to the withdraw terms See full terms here. Δ