"*" indicates required fields Δ NameThis field is for validation purposes and should be left unchanged.All withdrawal forms be submitted by the 20th of the month prior to when you’d like lessons to end. If your form is submitted on or before the 20th, your withdrawal will take effect the following month. If your form is submitted after the 20th, your withdrawal will begin the next month instead. Email* Student First and Last Name*Proposed Date of Final Lesson* DD slash MM slash YYYY Reason for Withdrawal* Taking time off Scheduling conflicts – Personal Scheduling conflicts – Teacher/Academy Lost interest Financial reasons Dissatisfaction with teacher Dissatisfaction with administration Would You Like to Continue Lessons at KAA in the Future?* Yes No Maybe Additional Comments/Suggestions/FeedbackCAPTCHA
