Withdraw Student
Parent Name *
Your answer
Which Little Otter Swim School location are you withdrawing your child from? *
Required
Swimmers name you are withdrawing? *
Your answer
Swimmers class you are withdrawing from?
What day does your swimmer attend class? *
What time is your swimmers class on that day? *
Last date that your swimmer will be attending class? (Student must complete current month.) *
MM
/
DD
/
YYYY
What is the reason that you are withdrawing your student? *
If you chose "None of the above" in the last question, please take a moment to let us know why you are withdrawing.
Your answer
How are you currently billed for your swimmers lessons? *
Other questions or comments?
Your answer
Email address where we should send withdrawal acknowledgement? *
Your answer
By clicking on 'Please withdraw my swimmer' and submitting this form, you are agreeing that your registration will be cancelled upon completion of the current month of enrollment. You acknowledge that withdrawals are final and to return to classes a student must re-register. *
Required
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