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Nebraska Dance Class Change/Cancellation Form
Please submit this form to cancel or change enrollment for Nebraska Dance Class(es). Please submit cancellation requests no later than the 15th of the month in order to drop at the end of the same month. If submitting cancellation form after the 15th of the month, you will be charged tuition for the following month *NOTE: Student may opt to attend classes for the duration of the paid period. Any additional questions please contact us at
khayden@nebraskadance.com
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Email
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Your email
Name of Student (First and Last Name)
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Your answer
Parent or Guardian Name (First and Last Name)
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Your answer
List Class(es) to Cancel here (Class Name, Day of Week, Time, Location- Ex. Lovely Little Ladies Monday 4:15 West)
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Your answer
If switching class(es): List class(es) to Add here, (Class Name, Day of Week, Time, Location- Ex. Lovely Little Ladies Monday 4:15 West)
Your answer
Reason for dropping class(es)
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Your answer
I understand that I must submit cancellation requests no later than the 15th of the month to drop at the end of the same month. If submitting cancellation form after the 15th of the month, I will be charged tuition for the following month. *PLEASE NOTE: Student may opt to attend classes for the duration of the paid period:
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I understand
Required
Parents Initials:
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Your answer
I further understand that if my student's class is a dance concert class, November 15th is the final date to cancel enrollment and not be charged the dance concert fee or final costume balance. I understand that I am responsible for the full balance of the dance concert fee and costume fee if I cancel after November 15th.
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I understand
Required
Parent Initials
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Your answer
Thank you for submitting the class change/cancellation form. You will receive an email following up with confirmation once the requested changes have been completed.
A copy of your responses will be emailed to the address you provided.
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