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PMA DisEnrollment Form
We're so sorry to see you go! Please fill out this form to stop your music lessons. We required notice to stop lessons - the 20th of the month is the cutoff date for disenrolling. Any answers in this form are kept confidential.
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Name of Student stopping lessons.
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Your answer
I understand that after I disenroll and complete the final month of lessons, any unused make up credits will be forfeited.
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Yes
Required
I understand that the cutoff date to disenroll is the 20th of the month and if I disenroll after the 20th I will be charged for one more month of lessons. You are welcome to continue taking and use those lessons.
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Yes
Required
Reason for disenrolling
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Your answer
Experience with your Teacher (5 being best).
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Experience with PMA overall (5 being best)
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