Withdraw Student Fitchburg

Please fill out the Form below to withdraw your Child/Children from Swimming Class.

This form must be submitted at least 30 days prior to the last lesson you wish your child/children to attend.

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Parent Name *

Email address for acknowledgment? *

Student(s) you are withdrawing? *

Last date that your swimmer will be attending class? *

What is the reason that you are withdrawing your student?Family movingSchedule conflictMedical reasonFinancial reasonUnhappy with programTaking a break for SportsTaking a break for VacationTaking a break for SchoolNone of the above

If other

When do you wish to return to lessons?JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberOther

If other

Other questions or comments?

Please share any instructor feedback

Please share any program feedback

Please student? class?

Please indicate if you'd like to be placed on the waitlist for any specific class

By clicking

• By clicking on 'Please withdraw my swimmer' and submitting this form, you are agreeing that your registration will be canceled. Your cancellation will be complete when you receive an email confirmation of this withdrawal which could take up to 7 business days. You acknowledge that all withdrawals are final, and when you are ready to return to classes, you may register online or contact us. Once your withdrawal notice has been processed, you may also log into the Parent Portal to confirm your last class date.

Submit