LESSON WITHDRAWAL

We are sorry to see you go! Please use this form to withdraw from classes.

PLEASE REMEMBER

  • There are no refunds for tuition payments already made, regardless if the classes were attended.
  • Withdrawal is due by the 20th of the previous month to avoid being responsible for the next month's payment.
Student Name *
Student Name
Withdrawal Date *
Withdrawal Date
I am withdrawing from lessons at Piano Tunes Music Academy effective (date.)
Why are you withdrawing from lessons? *
If you were unhappy with the teacher, would you like a demo lesson with a different teacher?
Name of Parent/Guardian
Name of Parent/Guardian
Phone *
Phone
Address *
Address