Withdraw from a Program

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PLEASE FILL OUT THE FORM BELOW TO WITHDRAW FROM A PROGRAM.
This form must be submitted before the 22nd of the month prior of dropping your class. Please fill out one form per student withdrawn.

Students First Name *

Students Last Name *

Student's program you are with drawing from *

Day and Time of program (eg. Monday's at 4:00pm or Intro Team at 6:45pm) *

Last date that your student will be attending program? (Student must complete current month.) *

YYYY

What is the reason that you are withdrawing your student? *

If Other- Please list reason for withdrawal.
*

Account Phone Number (000) 000-0000 *

Account Email Address *

Any remainder make-up lessons will be suspended once you un-enroll in swim lessons. Your make-ups will reactivate once you re-enroll in swim lessons. *

I understand I can not us my make up lessons once I withdraw from swim lessons

Required

By clicking on 'Please withdraw my swimmer' and submitting this form, you are agreeing that your registration will be cancelled upon completion of the current month of enrollment. You acknowledge that withdrawals are final and to return to classes a student must re-register. * *

Please withdraw my swimmer

Required

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