Withdrawal Form

Withdrawal Form / Family Exit Survey

We are sorry that your time at the studio is over. So, please help us to understand the reason or reasons that you decided not to re-enroll your child in dance. Your comments and thoughts will help us to improve and address issues that are important to our community. All responses are confidential. Please remember that should you decide to bring your child back to us, we will be here and ready to welcome you back!
This form must be submitted no later than the last Monday of the month before the new billing cycle begins. If your form is Not submitted before the new billing cycle your "1/2 of Last Month's Tuition" will not be applied or redeemable.

Last Month of Attendance: Withdrawl By Date:

November/December 10/25

January 12/13

Feburary 1/24

March 2/21

April 3/28

May 4/25

Comments/Quality Rating
What is the reason for which your student is not returning to dance? (please select all that apply) *

Family moving Financial: tuition/cost too high Dissatisfaction with program Dissatisfaction with faculty or staff member Dissatisfaction with leadership/administration Discipline issues Class size too small Class size too large Transportation problem Looking for different experience/atmosphere for child Quality of facilities Problem with other student
Please specify *
Please list the top three aspects of dance classes at DSD you LIKED *
Please list any aspects you did NOT like at DSD *

On a scale of 1-10 how likely is it that you would recommend DSD to family, friends, and/or colleagues? *

	1	2	3	4	5	6	7	8	9	10

1 is not at all, 10 is highly likely

Thank you for providing this information to us. We wish you and your family all the best.
Your comments are important to us:

Submission & Data Protection
A withdrawal is only valid, if you have received a written confrimation from the office.
Should be Empty:

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Withdrawal Form / Family Exit Survey