Request to WITHDRAW from FLOW Aquatics
This form is required to terminate enrollment and billing.

Must be submitted at least 30 day prior to last lesson. You will receive an email confirmation within 72 hours.

Today's Date *
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DD
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Parent's Full Name *
Your answer
Email Address *
Your answer
Student's Full Name *
Your answer
Class Day *
Your answer
Class Time *
Your answer
Reason for Withdraw *
Required
Date of Last Class *
30 days from today's date
MM
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DD
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Can you continue coming to your current class until the date of your last class? *
*Note- Please remember to report any absences by calling, emailing or using the form under Parent's Corner on our website.
In the event that we can fill your time slot with another student, would you prefer to: *
Did FLOW Aquatics meet your Expectations *
Unsatisfactory
Exceeded Expectations
Anything else you would like us to know?
Your answer
I understand that my enrollment will be cancelled when FLOW Aquatics receives this completed withdrawal form. Withdrawals are final. The 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(s) attends classes. *
Required
Must select SUBMIT below to activate withdraw request
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