Withdrawal Form
Which program are you withdrawing from?
*
Please Select
Recreational Program
Competition Program
Dancer’s Name
*
First Name
Last Name
Parent/Guardian On Contract
*
First Name
Last Name
Parent/Guardian Email
*
example@example.com
Today’s Date
*
-
Month
-
Day
Year
Date
By Signing below you agree that you have made all payments up to current and understand that the withdrawal and cancellation of contract will go into effect 4 weeks from today’s date upon receiving your withdrawal fee.
*
Reason for withdrawal:
*
We are always looking to improve our programs and facility. How could we have made your experience better?
My Products
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Withdrawal from recreational
Enter description
$
50.00
Quantity
1
2
3
4
5
6
7
8
9
10
Withdrawal from competition
By selecting to withdrawal from competition, I agree to have all fees paid up to current. I also agree to leave my dancer’s costume at the studio until the end of season.
$
175.00
Submit
Submit
Should be Empty: