Studio Withdrawal Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Studio Withdrawal Form

We're sorry that you won't be able to continue attending classes, please submit this form to withdraw from a current class. The withdrawal form is due by the 10th of the month, if it is submitted later a cancellation may still be possible but could incur a $25 late cancellation fee.

Sign in to Google to save your progress. Learn more

* Indicates required question

Name of Requesting Adult *

Your answer

Student Name *

Your answer

Requesting Adult Email Address *

Your answer

Requesting Adult Phone Number *

Your answer

Class Name *

Your answer

Class Day and Time *

Your answer

Reason for withdrawal *

Your answer

E-Signature of Requesting Adult *

Your answer

Submit

Page 1 of 1

Clear form

Never submit passwords through Google Forms.

This form was created inside of Mainstage Center for the Arts. Report Abuse