Aerials Gymnastics Withdrawal Slip
Please note our program runs from September - June and we require 4 weeks notice for early withdrawal.
Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Child's Name
*
Comma separate multiple children
Last day of class
*
-
Month
-
Day
Year
Date
Drop Reason
*
Other - Please Explain
Problem with the Day & Time
Problem with the Coach
Problem with another student in class
Other - We would love to hear your comments!
Comment
We would really appreciate your honest and constructive feedback!
Reason
Coach/Class
Organic
Seasonal
Other
Signiture
*
Clear
Submit Withdrawal Slip
Should be Empty: