Withdrawal Form Class Withdrawal Form Your Name* Your Email* Relationship to Swimmer* Effective Month:* JanuaryFebruaryMarchAprilMayJuneJulyAugSeptOctNovDec Swimmer's Name* Your Phone Number* Enrolled Lesson Day and Time* Reason for withdrawal* I understand that: Withdrawal forms must be received by the 15th of the month to take effect the following calendar month. (Ex. Due November 20th to take effect in December.) Once payment has been received, I am committed to that day/time for the entire month. Partial refunds will not be provided for early withdrawals. Once a withdrawal has been submitted, my child’s spot will no longer be held and will be made available for other students to enroll. All make-ups from previous absences will be forfeited when I withdraw and will not be carried over to re-enrollment. Any credits on my account are good for one year from the date of withdrawal. I accept these terms.