Withdrawal Form
Please refer to our terms and conditions prior to submitting your withdrawal https://speakupstudio.com.au/terms-and-conditions
Name of person completing this form
*
Parent Email
*
Please provide the email used for your child's enrolment within the parent portal
Parent Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
What is your relationship to the student?
*
Please Select
Parent
Teacher
Admin
How did the parent let you know?
*
Please Select
Verbal notification over the phone
Verbal notification in person
Written notification in an email
Written notification in a text
Other
Student Name
*
First Name
Last Name
Class & Venue
*
Eg St Josephs Inventors or Red Hill Monday Dreamers
What date did the parent let you know?
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
What is the reason for the withdrawal?
*
Please Select
Trying a different activity
Moving away
Moving school
Too expensive
Class time/family schedule issues
No longer interested
Graduated
Too many other commitments
Dissatisfied with the standard of teaching/learning
Other
When will this student stop attending classes?
*
Please Select
End of term 1
End of term 2
End of term 3
End of term 4
Until the date we've paid up to
Immediately (no further classes)
Please note that 15 days notice is required to stop payments.
Is this student interested in returning to classes in the future?
*
Please Select
Yes (Speak Up will contact you next term)
Maybe (Speak Up will reach out to you annually)
No (Speak Up will not contact you)
Comments
Submit
Should be Empty: