Discontinue Form
A TWO LESSON NOTICE IS REQUIRED VIA THIS FORM TO DISCONTINUE LESSONS - NO VERBAL NOTICES WILL BE ACCEPTED - You are responsible for payment for all lessons up to the date of your last scheduled lesson.

Make-Up Lessons can not be credited, but may still be made up according to your teacher's policies (please note, you can NOT extend your regular scheduled time to make up your lessons - once you discontinue, it becomes available for a new student to fill).

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Entered by *
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Cell Phone #
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Instructor *
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Day and time of lesson *
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Last lesson date must be at least two weeks from today *
Reason for Stopping *
check all that apply
Other information
please provide us any feedback or info you feel may be helpful
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