Lesson Withdrawal Form

Lesson Withdrawal Form

Vivid School of Music, Leander TX
We’re sorry to see you go!

Important: Requests received with less than 7 days' notice before the beginning of the month will be processed the following month.
Today's Date

MonthDayYear
Your Name
Student Name (if different)
Your Email
example@example.com
Please list which teacher and instrument you are canceling.
Reason for withdrawal (check all that apply)

Financial reasonsCan't find a time that works with our scheduleToo busy / Focusing on other activitiesTaking a break from musicSwitching instruments or teacherMoving awayNot the right fitOther
Would you like us to keep you on a waiting list in case a better day or time becomes available? (optional) If so, what days or times would work best?
List any days or times that might work with your schedule, and we'll let you know if one opens!
We offer a $20/month discount for online lessons! If distance is the main concern, would you consider staying with your teacher online?

Sure, send me more details and I'll consider it! (Note: Your cancellation will still be processed if you select this option. If you decide to stay, we'll start a new online subscription.)No thank you, prefer to cancel
Withdrawal Date

Remember that in order to cancel billing right away, we need at least 7 full days' notice before the end of the month.
Which month will be your last?*
Will you be attending your lessons in your final month?*

Yes, we'll finish out the month in our current time slot.Yes, but we need to reschedule our final lessons.No, we need to stop earlier. (If choosing this option, please also choose "Other" and add your final lesson date.)Other
If you have makeup credits remaining, would you like to book those? Credits expire 14 days after billing ends.*

Yes, I'll use the Client Portal to book any remaining makeups.I'd like help with booking makeups.No, you can donate any remaining makeup credits to be used for other students.I don't think I have any makeup credits
How would you rate our overall services?*
One Last Request
The best way to thank your teacher is to leave them a good review! Online reviews are incredibly helpful for us, and our teachers receive a small bonus anytime they're mentioned in a good review. Totally optional, of course, but those links are here:

Vivid School of Music Google Reviews

Vivid School of Music Yelp Reviews
Any more details or feedback you'd like to provide?
Terms and Conditions
- Cancellation less than 7 days before the end of the month will be processed the following month.
- Students will still be in the schedule until the end of their last month until otherwise requested.
- There are no refunds of monthly payments.
- Makeup credits are still good for 14 days after billing ends.
Client's Signature

Clear
Should be Empty:

Lesson Withdrawal Form

We’re sorry to see you go!

Withdrawal Date

One Last Request

Terms and Conditions