MDC Withdrawal Form
Use this form to withdraw completely from ALL classes at Mason Dance Center. If you are dropping some classes but staying in some classes please use the Drop Class Form, not this one.

~Important Note~ This form must be completed and turned in to our office 15 days prior to the intended withdrawal to terminate further tuition obligations for the season.** The Primary Contact is responsible for tuition payments and late fees until a Withdrawal Form is turned in to the MDC office, regardless of attendance.

Should you need to withdraw prior to the start of classes in late August/early September; all fees will be refunded minus a $15 service charge. Past September, 15 days notice are required to stop further charges; registration and tuition for month withdrawing are non-refundable. **All costume fees are non-refundable after December 1st.
Email address *
Parent's Name *
Your answer
Student's Name *
Your answer
Name of class (or classes) you are withdrawing from *
Your answer
Date of Withdrawal *
MM
/
DD
/
YYYY
Please take a moment to give a short explanation of why you are leaving. If there was a problem, your input could help us improve the situation. We are always looking for ways to make our program the best it can be. Please choose the best option below or write in your own. Thank you! *
Required
How can we make improvements?
Your answer
Would you come back to MDC in the future or recommend MDC to a friend? *
Thank You!
A copy of your responses will be emailed to the address you provided.
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