Request to WITHDRAWAL Enrollment with DolFUN
Required to terminate enrollment and billing.
Must be submitted at least 30 days prior to last lesson.
Today's Date *
Date of Last Class *
Parents First Name *
Parents Last Name *
#1 Student First Name *
#1 Student Last Name *
#2 Student First Name
# 3 Student First Name
Class Day *
Class Time *
Type of class *
Reason for Withdraw *
Required
Method of Payment *
Did DolFUN meet your Expectations *
Unsatisfactory
Exceeded Expections
Share with us your story and experience while here at DolFUN
I understand that my enrollment will be cancelled when DolFUN SWIM Academy receives this completed withdrawal form. Withdrawals are final. Annual Family Administration Fee will be due upon re-enrollment. I am responsible for billing fees up to 30 days after the office receives this written notice whether or not my student attends classes. *
Required
Must select SUBMIT below to activate withdraw request
BELOW OFFICE USE ONLY
Date Received
Drop Date
Last Draft Date
Amount of Last Draft
Date Entered in Enrollment Software
Date Final Statement sent to client
Reviewed and Entered by
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