West Main Studios School of Dance Withdrawal Form

West Main Studios School of Dance Withdrawal Form

Per Your Parent/Student Registration Agreement WITHDRAWAL:Non-attendance does NOT mean you have dropped your classes and/or withdrawn from StudioDance. If you wish to withdraw, you must fill out a form 45 days prior to your withdrawal date. You may do so here and submit this form. Your account will continue to be charged through the 45 days and you will owe that amount as part of your contractual agreement. Company Dance - Specific withdrawal - related and is applied to Company Dancer Agreement.*
Date

Month Day Year
Date
Parent's Name:

First Name Last Name
Student's Name:

First Name Last Name
I WISH TO WITHDRAW FROM THE FOLLOWING CLASS OR CLASSES
PLEASE LIST YOUR CLASS OR CLASSES FOR EXAMPLE: 1. LEVEL 1 BALLET - TUESDAY - 4:45
DATE OF LAST CLASS ATTENDED:
I AM AWARE:

There are no withdrawal fees. You will be charged for the upcoming month (1 month's tuition) as part of the withdrawal process. Per my registration agreement, there are no refunds.

I have read this and understand the above information - By submitting this form I am withdrawing my student and agreeing to the above information.
Signature

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