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Deferral Request Form

Please note:
- A deferral of one term is permitted.
- There is a charge of $250.00 to defer your start date. (THIS PAYMENT MUST BE PAID AT THE TIME THE FORM IS SUBMITTED.)
- The deferral fee will be credited to your account when you begin classes next term.
- Payment options will be provided when you submit the Deferral Request form.

Name: *
Phone: *
Email: *
Date of Birth (MM/DD):

Deferring To:

Reason for Deferrment:
Method of Payment: * Pay online
Pay by check
(Mailing address and online payment option will display once you submit this form.)
Information Collection Disclosure:

The information you enter here is retained by VLS for internal use, and may be submitted to third-party tools or entities for specific, related purposes such as payment processing or reporting. All data is collected and retained via secure protocols. Click here to read relevant policy information.
European Union residents, click here to request removal of your data from our systems.

Please check this box to indicate that you understand the data retention policy information.