Take Note Studio Enrollment Change/Update

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Use this form to request a class/lesson time change, or to pause/withdraw enrollment.

As a reminder, we require submission of cancellation by the 15th of the month before you want to withdraw. If you did not meet that requirement, you will be charged at your upcoming bill date with full access to classes/lessons for the month you’ve paid for.

Your Full Name *

Your Student's Name *

Your Teacher:

Ms Heidi (Piano)

Ms Rhyanna (Piano)

Ms Claire (Voice & Piano)

Mr Thomas (Piano)

Mr Keith (Guitar)

Ms Olivia (Piano, Ukulele and Kindermusik)

Ms Elorah (Guitar and Ukulele)

Ms Brenda (Piano and Kindermusik)

Ms Heather (Kindermusik)

Ms Jessica (Kindermusik)

Ms Sarah (Studio Singers)

Clear selection

Change needed: *

Kindermusik Pause (would like to return in 2 months or less)

Need a new lesson/class time/teacher

Withdrawal

Other (please indicate in comments)

Date to Take Effect: *

YYYY

If new time needed, please indicate the class desired or lesson times available. We will be in touch with confirmation.

Reason for withdrawal:

(As a reminder, we require submission of cancellation by the 15th of the month before you want to withdraw. If you did not meet that requirement, you will be charged at your upcoming bill date with full access to classes/lessons for the month you’ve paid for.)

Wanting to try other things

Cost

Schedule/ Life Change

Not satisfied with my experience (please describe in comments)

Other (please indicate in comments)

Clear selection

If cost is reason for withdrawal, would you be interested in learning about our scholarship program?

Yes

Clear selection

Comments (or anything else that would be helpful for us to know!)

Submit

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