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Withdrawal/Class Change Form:

Student's Name/Students' Names:

First Name

Last Name

Parent/Guardian's Name:

First Name

Last Name

Email Address

I would like to:

Officially Withdraw

Change Classes

Please select the date on which you would like this withdrawal/change to become effective:

YYYY

If you are changing classes, please identify the class that you would like to join:

Notes/Comments:

We would love any feedback that you would be willing to share about your experience at Artistry House and/or the reason for your class change/withdrawal. (All information will be kept confidential).

Withdrawal/Class Change Form:

Info

Action