DMS Withdrawal Form

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DMS Withdrawal Form

To discontinue lessons and to stop tuition charges to your account, fill out the below withdrawal form before the 20th of your last month & submit. Without this form filled out and submitted, I understand that I will continue being charged till it has been submitted.

Dynamic Music Studio Co does not prorate tuition for the last month of lessons, for anyone who turns this form in after the 20th of the month. Students will be responsible for their last month’s tuition whether or not they attend lessons. No refunds will be given for students who miss the last month.

No exceptions will be made for moving, relocating, illness, medical etc.

*Extenuating circumstances will be taken into consideration by the Owner, however Dynamic Music Studio Co does reserve the right to refuse a refund of lesson fee’s if voted not-in favor of granting the extenuating circumstance reason given.

Once this form is submitted - Dynamic Music Studio will confirm receipt of this withdrawal form with you directly or via email/text to confirm lessons have been stop and auto payments are turned off. IF you do not receive a confirmation within 5 business days, please reach out to dynamicmusic437@gmail.com for further assistance.

Email *

Students Name *

Parents Name (IF student is under 18)

I have been made aware and agree that I must fill out this form by the 20th of my last month to have my Invoice charges at Dynamic Music Studio Co discontinued.

I understand

Required

By signing this form, I agree and understand that lessons are month to month, but I must let the Studio know by the 20th of my last month. No exceptions will be made for me and no refunds will be given to me if I do not adhere to the policy written above.

I Understand

Required

Date of Students Last Lesson (last of the month OR last weeks lesson if stopping lessons immediately) *

YYYY

Reason for Stopping Lessons *

I affirm that this form is a binding online form and agree to signing digitally below: *

Date of Form Signature: *

YYYY

Submit

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