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KAMP Lesson Suspend/Withdraw Request Form
Changes MUST BE submitted by email
with 30 days notice.
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* Indicates required question
Email
*
Your email
Phone number
*
Your answer
Date of changing/stopping lesson to be effective
*
MM
/
DD
/
YYYY
If it is a break, please list the duration from what date to what date. Thanks.
Your answer
Student's Name
*
Your answer
Teacher's Name
*
Your answer
Parent/Legal Guardian's name (for student under 18), for adult student, please fill in "N/A"
*
Your answer
Please check the box(s) related to your change
Is the student taking a break from lesson or withdrawing from KAMP?
*
Taking a break
Withdraw from KAMP
Suspend/cancel my lessons before the scheduled terms is due
*
Schedule conflicts: too many other commitments
Family emergency
Family/personal vacation
Teacher not a good fit
Lost interest
KAMP Music is not a good fit
Found another school or teacher that is a better fit
Financial problems (please contact us about scholarship program)
We are moving
Graduate from high school, moving to college
Would rather not say
Required
Note for KAMP
Your answer
A copy of your responses will be emailed to the address you provided.
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