Withdrawal Form

Withdrawal Form

This form must be completed within 5 days of the intended month to withdraw from classes in order to terminate further tuition obligations for the dance season. The Primary Contact is responsible for tuition payments & late fees until a Withdrawal Form is submitted, regardless of attendance.
Student's Name

First Name Last Name
Primary Contact Name

First Name Last Name
Please withdraw the above named from all enrolled classes as of:

Month Day Year
(FINAL CLASS DATE)
Questionnaire

Please take a moment to answer a few questions for us about why you are withdrawing at this time. Your answers may help us resolve any issues and will help improve the overall experience at Ballet On Wheels Dance School & Company.
Why are you withdrawing?

Tuition Fees Relocation / Moving out of area Student lost interest Scheduling conflict Too busy/ overbooked Changing studios Unhappy with experience Disliked Instructor
Please give details of the above reason.
How can we make improvements?
If a Company Dancer (Demi, PPE, or Sr), have all company costumes been returned (i.e. white tutu skirt, plum dance dress, dance props, etc.)?
Should be Empty:

Questionnaire