NSSOTA Withdrawal Form

Thank you for providing notice of your student's withdrawal from NSSOTA. We are saddened to hear this news. We love our students and wish to do everything we can to help them have a successful fine arts journey. 

As a gentle reminder of our NSSOTA withdraw policy, completion of this form by the 15th of the month will end the subscription(s) effective the last day of the current month. Any withdraw notice received after the 15th of the month will be processed the following month.

Your feedback is important to us. We value our students and want you to have the best experience possible. Feedback provided remains confidential and helps us improve our student experience. Please direct any additional feedback to our owner, Todd Parks at todd@nssota.com

If you are renting an instrument from NSSOTA, your account will be charged until the complete instrument package is returned.

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Email *
Account Information
Parent/Account Name *
First Student Name *
Student Lesson/Class *
Please list the class/classes your student is withdrawing from.
Student Instructor *
How many months has the student taken lessons? *
Is this a temporary leave?  Are you planning on returning in the future? *
Do you have another student you are withdrawing? *
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