Withdrawal Form

Portland Porpoise Membership Withdrawal Form
The following programs can use this form to withdraw and end future payments (note refunds will not be issued for payments made):

- Stations 1-7 Lessons

- Adult monthly members

- MS Prep I or II

- Intro to Swim Team, Porpoise Ready and Challenge enrolled in a monthly memberships or 2 payment option

The following programs should use this form to notify team of withdrawal Payments will continue per financial term agreements:

- HS Prep I or II swimmers (financially commited to Sept-Nov enrollment)

- Porpoise Achieve & Performance swimmers (financially committed to Sept- July)

Submission deadlines:

For MONTHLY payment plans, form must be submitted by the 20th of the month to avoid the subsequent month payments.

For SHORT + LONG Course payment plan who want to opt out of the Long Course season (May-July), please submit this form by 4/15 to avoid being charged the second dues installment.

For SCHOOL + SUMMER payment plan who want to opt out of the summer Long Course session (mid June-July), please submit by 5/15.

Any questions? Please email Allison Maurer at registrar@portlandporpoises.com.
Name of person completing form:*
Email address of person completing form:*
Swimmer's name: (fill out one form per swimmer)*

First NameLast Name
Swimmer's Practice Group*
Requested Withdrawal Date*
Main Reason for withdrawal*
We are always looking for feedback to improve. Is there anything else you want to share with us?
We will process your request and confirm when your membership has been canceled. Thank you for your participation with the team!
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Portland Porpoise Membership Withdrawal Form