WITHDRAWAL FORM 2017
We’re sad to see you go, but we understand too.
- A 30-day written notice is required when stopping lessons.
- Tuition will not be credited or refunded for partial months. No exceptions.
- Withdrawals will only be processed for students whose accounts are paid in full
What are you wanting to withdraw from?
Band Performance Program
Artist Development Program
Ballet Dance Class
Jazz Dance Class
Tap Dance Class
Contemporary Dance Class
Creative Movement Class
Which location are you withdrawing from?
Passion Academy Glen Allen/West End
Passion Academy at CDCW
Passion Dance at Courtside West
Passion Dance at GOC
Why are you withdrawing?
Unsatisfied with teacher/lesson
If you are unsatisfied, can you tell us your problems or concerns?
When would you like to remove your student from the schedule?
After the next lesson/class
At the end of the 30 days
How satisfied were you with your experiences at Passion Academy?
Do you plan on taking lessons/classes at Passion Academy in the near future?
Would you like someone from our office to contact you about your experience?
Would you be interested in re-enrolling in the future?
What approximate date can we schedule a follow up with you about your re-enrollment?
Any comments you would like to include?
I hereby understand that I am submitting a 30-day notice for the withdrawal and cancellation of my student(s) lesson and/or classes effective at the time provided above. I also understand that I will not be refunded any lessons even in the event I decide to not attend the final lessons.
Do Not Fill This Out