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NOTICE OF WITHDRAWAL
A 30 day notice is required to end your membership with Rock School NW. We do not give refunds or prorate lessons for the month you need to stop lessons. SO you need
to cancel your subscription at least 30 days prior to the date you need to end lessons on. (ie. If you cancel on September 13th, you still are billed for the whole month of October).
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Email
*
Record my email address with my response
Student's First and Last Name
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Your answer
Parent's First and Last Name
Your answer
Email
*
Your answer
Phone Number
*
Your answer
Date of Withdrawal (on the 1st of the 2nd month out)
*
Your answer
Reason for Withdrawal
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Conflicting Schedule or Overcommitted
Moving Away
Needs a break as lost interest
Break for sports
On Extended Vacation
Schedule doesn't work for them or too busy
Financial reasons
Other (please specify):
What did you enjoy most about the program?
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Your answer
What could we improve to enhance our programs?
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Your answer
Would you consider re-enrolling in the future? Why or why not?
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Your answer
Would you like to discuss alternative arrangements (e.g., a different program, temporary hold, etc.) before finalizing withdrawal? (Yes/No)
*
Your answer
Please provide any additional comments or suggestions:
Your answer
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