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/Guardian First Name *

Parent/Guardia Last Name *

Student(s) Full Name(s) *

Based on today's date, I would like to withdraw from lessons at the END of *

THIS month

NEXT month

Reason for withdrawal *

Child Not Enjoying Lessons

Class Cancelled/Changed - No Suitable Alternative

Commute Too Far / Traffic

Completed Personal Goals

Expecting a New Baby

Extended Vacation

Facility Issues

Lesson Quality Issues

Medical Reasons/ Illness

Moving Away

Nap Time Conflict

Preferred Class / Instructor Unavailable

Tuition Price

Unexpected Financial Issues

Work Schedule Changed

Other:

If applicable, please feel free to share additional details regarding your reason for leaving. We are always striving to be the best, so your feedback is important to us.

Would you like the office to contact you to discuss any of the information you noted in this form?

Yes

Clear selection

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My child will be withdrawn from their class, and their spot will become available for another student.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