Withdrawal Request

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Withdrawal Request

Withdrawal must be made by the 15th of the month PRIOR to when you wish to stop attending. (For example, if you want October to be your last month of lessons, submit this form no later than October 15th. )
Please fill out a separate form for each student.

Email *

Parent First Name *

Parent Last Name *

Student(s) Full Name(s) *

At this time, I would like to withdraw from lessons: *

at the end of this current month

at the end of NEXT month

Reason for withdrawal *

Completed swim goals

Taking a break - Medical reasons

Taking a break - New baby due soon

Taking a break - Misc.

Scheduling conflicts

Preferred class / instructor unavailable

Moving out of the area

Financial reasons

Other:

By checking the following, I understand: *

My child will be withdrawn from their class, and their spot will become available for another student.

Required

I also understand: *

This form must be submitted on or before the 15th of the current month to avoid being billed for the upcoming month. If submitted between the 16th and 23rd of the month, I can still withdraw from next month’s lessons with only a $30 per student Late Withdrawal Fee. If submitted between the 24th and the end of the month, 50% of next month’s tuition can be refunded. If submitted between the 1st and the 7th of the same month, only 25% tuition can be refunded. If submitted after the 7th, there are no refunds.

Required

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