Withdrawal/Pause Lessons
All withdrawals require a 30 day notice. Please submit this Withdrawal form by the 1ST OF THE MONTH. We do not accept any withdrawals after the 1st of the month. All withdrawals must be filled out, we do not accept emails, text messages or phone calls. If you withdrawal after the 5th of the month you are responsible for next months tuition. Thank you LCSS Management
Parent/Guardian Name
First Name
Last Name
Students #1 Name
First Name
Last Name
Students #2 Name
First Name
Last Name
Students #3 Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Withdrawal of lessons are on the last day of the month-
Withdrawal of Lessons
Final Date of Withdrawal- Date of last lesson
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Month
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Day
Year
Date
Who was your Swim Instructor and Swim Assistant?
How would you rate your Swim Instructor? 1 out of 5 Stars
1
2
3
4
5
Your feedback is greatly appreciated! Please tell us your experience with LowCountry Swim School
I hereby by acknowledge and understand the Policy of Withdrawal/Pause of Lessons with LowCountry Swim School. I understand that filling out this form I will be not be scheduled in the class effective after the withdrawal date and not be billed if I withdrawal from the program.
Date
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Month
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Day
Year
Date
Submit
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