Case's Music Student Cancellation Form

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Student Full Name *

Parent Name (if applicable)

Student Email *

Reason for cancelling *

Personal or family reasons

Conflicting schedules with other extracurriculars

Issue with the lesson or teacher

Other:

Desired date of last lesson - please note that we require 30 days notice for students on a monthly plan (but there is no additional cancellation fee) *

YYYY

Any parting comments you'd like to leave us?

Please rate your overall experience receiving lessons at Case's Music.

Terrible - I would not recommend to anyone!

Wonderful - I will return at the next opportunity!

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