Withdrawal Form

Withdrawal Agreement:

Withdrawal form must be received by the 24th of the month prior to the effective withdrawal month. (EX: April 24th for effective May)
Once payment has been received, you are committed to that month. We do not provide partial refunds for withdrawing earlier than the end of a month.
I understand that my child’s spot in that class is no longer held once I withdraw.
Evaluated skills are kept on file for one year from withdrawal date so students can re-enroll where they left off.
Enrollment fees are good for one year from the date of payment.

Parent/Guardian Full Name*
First Last
Email*
Effective Month (Month You're Dropping)*
Student Name*
First Last
If your child is on an instructional class waitlist, would you like them to remain on the waitlist to return to class once a spot becomes available?
Class*
Additional Student Name (If Applicable)
First Last
If your child is on an instructional class waitlist, would you like them to remain on the waitlist to return to class once a spot becomes available?
Class*
Additional Student Name (If Applicable)
First Last
If your child is on an instructional class waitlist, would you like them to remain on the waitlist to return to class once a spot becomes available?
Class*
Reason for Withdrawal*
Signature (Type Name)*
Date*
MM slash DD slash YYYY
Consent*
I have read the withdrawal agreement.