Ballet West Academy Withdrawal Form

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To withdraw a student prior to the end of the year, a Withdrawal Form must be submitted at least 30 days prior to the student’s last day of class. Refunds or cancellation of recurring charges will be done at the discretion of the Academy Managing Director. In all circumstances, a $25 administrative fee will be charged for withdrawals.

Email *

Student's Name *

Campus Location *

Please provide reason for withdrawal *

Parent's Name *

Parent's Email Address *

Parent's Phone Number *

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