Withdrawal Form

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Withdrawal Form

Withdrawal Reminders

You may stop your lessons at any time. By cancelling, your child(ren) will be removed from our program.
A withdrawal form is required and must be submitted online through our website to be removed and stop automatic payments.
Accounts are charged on the 15th of every month for the next month.
To avoid being charged for the next month, you must submit your withdrawal request prior to the 15th of the previous month.
One form needs to be submitted for each child you are wishing to withdrawal.

By checking below, I acknowledge that I have read and understand all of the withdrawal reminders as mentioned above. *

I acknowledge

必須填寫

By checking below, I acknowledge that I will be billed for the next billing cycle if this notice is not received before the 15th of my child's final month. *

I acknowledge

必須填寫

CHILDS FIRST AND LAST NAME

PARENTS FIRST AND LAST NAME *

PHONE NUMBER

EMAIL ADDRESS *

NAME OF CLASS YOU ARE WITHDRAWING YOUR CHILD FROM (include day, time and location of class) *

REASON FOR WITHDRAWAL *

Accomplished Goals

Class too easy/hard

Instructor Conflict

Medical

Moving

Schedule Conflict

Seasonal Enrollment

Unhappy with class

其他：

必須填寫

LAST MONTH MY CHILD WILL ATTEND *

PLEASE RATE YOUR OVERALL EXPERIENCE WITH MFA

Poor

Excellent

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PLEASE FEEL FREE TO LEAVE ANY ADDITOINAL COMMENTS OR SUGGESTIONS FOR US BELOW

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