Withdraw / Drop Form

We’re sad to see you go!

If you wish to drop a class from your schedule (or all classes completely), please complete the request below to drop your class(es). Your request must be submitted 10 business days PRIOR to the next billing date. Your enrollment continues until this form is completed. There are no refunds given.

Dancer Name

First Name

Last Name

Parent Name

First Name

Last Name

Phone

(###)

###

####

Please remove my Dancer from the following class(es):

Withdraw Notice

Please allow this form to serve as notice that your Dancer (listed above) will be withdrawing from all classes at Elements Dance Space effective immediately. I am fully aware that I am responsible for all tuition & fees assessed up until the first of the next payable month and that tuition & fees paid to date are nonrefundable and nontransferable.

Electronic Signature

First Name

Last Name