Student's Name *

First Name

Last Name

Unenrolment Policy *

For discontinued lessons before the end of the year, the student/parent will be charged a Discontinuation Fee equal to the cost of one month’s tuition. This Fee will be processed, by the latest, on the first of the month following the discontinuation of lessons.

I have read the unenrolment policy.

Reason for Unenrolment *

Reached Goals

Moving

Finances

Scheduling Conflict

Transferring to another Studio

Teacher Incompatibility

Date of Last Lesson *

Must be today's date or date of future lesson

MM

DD

YYYY