Withdrawal Form - Galloway

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We are sad to see you go! Students benefit from year-round swim instruction and practice for the best results.

Swimming has many benefits for your child's health and well-being. Here are 7 of the major benefits:

1) Swimming is a life saving skill

2) Promotes strength, flexibility, balance, and coordination

3) Builds social skills

4) Swimming is a full body work out

5) Improves sleep patterns

6) Great for mental health

7) Increases confidence

Email *

What is the student/s first and last name?

What month would you like your last month to be?
*

If you have a non-refundable deposit on file, how would you like to use it? (Can be used for monthly tuition, open swim, special events, swim shop items, or birthday party).
*

I do not have a deposit on file.

Apply my deposit to the upcoming month's tuition.

Save on file for future use.

I understand that by withdrawing, any missed classes that have not been made up will be forfeited at the end of my designated last month.
*

Yes

Required

What is the reason for your withdrawal?
*

Health Issues

Moving/Traveling

Completed Desired Level

Scheduling Conflict

Financial Reason

Other:

How was your experience at Five Star Swim School?
*

Will you be returning to Five Star Swim School in the future?
*

Yes

How likely are you to recommend Five Star Swim School on a scale from 1-5?
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5 Extremely Likely

4 Likely

3 Neutral

2 Unlikely

1 Extremely Unlikely

A manager will reach out to finalize your withdrawal. Do you have any questions or concerns in the meantime?
*

Please type your full name to sign this form.
*

A copy of your responses will be emailed to the address you provided.

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