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.

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Email *
Parent First Name *
Parent Last Name *
Student(s) Full Name(s) *
At this time, I would like to withdraw from lessons: *
Reason for withdrawal *
By checking the following, I understand: *
Required
I also understand: *
Required
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