PMA DisEnrollment Form
We're so sorry to see you go!  Please fill out this form to stop your music lessons.   We required notice to stop lessons - the 20th of the month is the cutoff date for disenrolling.   Any answers in this form are kept confidential.
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Name of Student stopping lessons. *
I understand that after I disenroll and complete the final month of lessons, any unused make up credits will be forfeited. *
必填
I understand that the cutoff date to disenroll is the 20th of the month and if I disenroll after the 20th I will be charged for one more month of lessons. You are welcome to continue taking and use those lessons. *
必填
Reason for disenrolling *
Experience with your Teacher (5 being best). *
Experience with PMA overall (5 being best) *
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這份表單是在 Providence Music Academy 中建立。 檢舉濫用情形