Consent Letter For Transfer of Funds To Different Account
Consent Letter For Transfer of Funds To Different Account
Consent Letter For Transfer of Funds To Different Account
I, the undersigned, ENTER CLIENT NAME WHICH APPEARS ON SIGNED APPLICATION FORM hereby confirm the
following:
1. I am the RELATIONSHIP (MOTHER OR FATHER) of STUDENT NAME, who was registered in grade ENTER LEVEL
or the 2019-2020 academic and has cancelled due to HIS/HER - ENTER VALID REASON FOR CANCELLATION..
2. I request and authorize Kells Academy to issue a refund for the balance of fees in the amount of $$$ Cdn ($$$
dollars this information will be provided by the Accounting Department) to the name of ENTER NAME OF
PERSON WHOSE ACCOUNT WILL BE USED TO REFUND THE MONEY OWED TO THE APPLICANT
I will personally hold you harmless in the unlikely event that anyone proposing to act as me should ever claim for this
payment.
__________________________________________
ENTER CLIENT NAME WHICH APPEARS ON SIGNED APPLICATION FORM
Relationship to student
_________________________________________
Irene Woods - Director