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Withdrawal Form
**Please note all requests need to be submitted before the 25th in order to avoid your account being charged another month.
For example if my child's last month of lesson was the month of May, please submit your withdrawal request by May 25th.
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* Indicates required question
Which subscription track are you wanting to withdrawal from?
*
General Lessons (Swim School)
Lifeguard Certification Prep
Adult Lessons
Diving
Adaptive-Swim Lessons
Swim Team
Parent's Name
*
Your answer
Swimmer's Name
*
Your answer
Email associated with the account
*
Your answer
Phone number associated with the account
*
Your answer
Last 4 digits of the credit card associated with this account. (If the numbers on file do not match we will call you)
*
Your answer
What class day/time are you cancelling? (i.e. Monday's @ 4:00PM)
*
Your answer
Select the last month of lessons your child will be swimming with us?
*
January
February
March
April
May
June
July
August
September
October
November
December
Please select your reason for withdrawal
*
Moving
Schedule Conflict
Medical
Other Sport
Graduated to next level
Other
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