This form must be filled out before the last calendar day of your last month taking lessons. Tuition is not refunded for the last month of lessons, no exceptions will be made. Students are responsible for their last month’s tuition whether or not they attend lessons. After a withdrawal has been submitted, no refunds are given for any time missed within the last month, and any outstanding make up credits will be forfeited. No exceptions will be made.

Parent Name *
Parent Name
Student Name *
Student Name