ATD Withdrawal Request Form

Request edit access

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Class Withdrawal Policy: Please fill out this form by the 25th of the month to avoid auto-pay at the start of the following month. Before withdrawing, may we help find another class that works better for your family? Or is there something we can improve upon for the future? Please share below.

Parent/Guardian Name *

Parent/Guardian email *

Dancer's Name *

Please list the class(es) you would like to withdraw from: *

Reason for Withdrawing: *

Taking a break

Trying a different activity

Schedule conflict

Not the right fit for my dancer (please provide feedback)

Other:

If there is something we can improve upon or something we ought to know about your dancer's experience, please share more.

Our directors will reach out to you within 3 days.

If there is a scheduling conflict, would you like us to reach out with alternative classes for your dancer? *

Yes

N/A

Other:

Which option would you like to proceed with: *

Drop from class now.

Schedule a future drop from class.

Shuffle to another class.

We will miss dancing with your family and hope you might consider joining us again in the future.

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of All That Dance.

Does this form look suspicious? Report

Forms