Storm Swim School Withdrawal Form
Dear Parent,
Please use this form if you would like to unenroll your child from the Storm swim program. We must receive this form 30 days prior to the date your child will discontinue. Please use one form per child. We hope to swim with your child again in the future! Any feedback on the program would be appreciated. *REQUIRED*
Child’s Name
First Name
Last Name
Child’s level
Clinic
Stroke Development
Stroke Readiness
Primary Skills 1
Primary Skills 2
Primary Skills 3
Water Babies
Day scheduled
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Time
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Date of cancellation submission
-
Month
-
Day
Year
Date
Will you return in the future?
Yes
No
Maybe
If so, which month would you return?
January
February
March
April
May
June
July
August
September
October
November
December
Please tell us a little about your experience at Storm Swim School. How can we improve?
Email
example@example.com
Submit
Should be Empty: