Withdrawal form | sanddollarmusic

First name

Last name

Student's name (if different from above)

Phone

Email

Current instrument and teacher

Preferred date of last lesson

I understand that one month's tuition will be assessed as a cancellation fee, and I agree to remit payment by the indicated due date.

Yes

We care deeply about our Sand Dollar families and are always sorry to see students go. Feel free to use the below space to let us know what you're moving on to or if there's a way we could have served you better.

Wherever your music takes you, we are thankful for our time together, and we will always be rooting for you!

Lesson Withdrawal Form