Withdrawal Form

If you need to discontinue classes, please note that Class Drops and/or Account Withdrawals must be finalized before the last business day of the previous billing cycle, by 6 PM (usually the 30th of the prior month), to discontinue tuition charges for upcoming months. Tuition collected for the past billing cycles is non-refundable and non-exchangeable. Please utilize the form below to submit your withdrawal request.

We appreciate the time you spent with us at Impact Dance Center, and we're sorry to see you go. Your feedback is valuable to us, so please take a moment to provide some details about your experience.

Thank you for being a part of our dance family!

Student Name

First Name

Last Name

Parent/Guardian Name

First Name

Last Name

Primary Account Email Address

Class Information

Please include the instructor name, day, and time for the lesson(s) you are withdrawing from. If you will be continuing enrollment in other lessons or classes, do not include those below.

Date of Final Class

YYYY

Reason for Withdrawing

If you select "Other" please use the space below.

How would you rate the value of our dance education in relation to tuition rates?

Excellent

Satisfactory

Needs Improvement

Would you consider returning to or referring others to Impact Dance Center in the future?

Yes

Was your teacher cheerful, encouraging, inspiring, organized and on time?

Optional. Your feedback is highly appreciated and contributes to the continuous improvement of our dance education.

Have you found the staff helpful?

Optional. Your feedback is highly appreciated and contributes to the continuous improvement of our dance education.

Acknowledgement of Refund Policy

By submitting this withdrawal request, I acknowledge and understand the following terms: Class Drops and/or Account Withdrawals must be finalized before the last business day of the previous billing cycle, by 6 PM (usually the 30th of the prior month), to discontinue tuition charges for upcoming months. Tuition collected for past billing cycles is non-refundable and non-exchangeable. I have reviewed and agree to abide by these refund policy terms.