Dance and Music Academy
770.924.1661         info@woodstockdance.com
 6238 Old Hwy 5, Ste C-3, Woodstock, GA 30188

Student Withdrawal Form

Please let us know if there is anything we can do to improve our services. All of our instructors are available to meet with parents to discuss any issues students may be having (i.e. not wanting to practice, class structure, progress). If you need to withdraw for any reason, you are required to give 4 weeks written notice. Tuition is due during those 4 weeks. Billing will continue until written notice is received.

Enter Today's Date

Enter Student Name

Enter Lesson Type

Enter Lesson Date/Time

Enter Instructor

Enter Parent Name (Electronic Signature)


Please share with us your reason for withdrawing:
 
Financial
Scheduling Conflict
Loss of Interest
Medical       
Unsatisfied with Services
   (Please Share Comment)
 
Please leave us your feedback/comments:strong>