Lesson Suspension Form

Adult students (ages 18 and up) may put lessons on hold for 4-6 weeks in order to keep your current lesson day/time when you return.

Student Name:

First Name

Last Name

Primary Lesson Location

Teacher:

Suspension Type:

Suspension Start Date (must be the 1st of a month)::

15 days notice is required in order to suspend lessons.

YYYY

Date to Resume Lessons:

YYYY

Reason for Suspension:

Today's Date:

YYYY

I understand this form must be submitted by the 15th of the month in order not to be charged on the 1st of the following month. For example, to discontinue lessons beginning July 1st, your withdrawal form must be received by June 15th.

*By typing my name below, I am electronically signing this notice.