Teacher Cancellation Form

This form will communicate your intent to cancel a lesson. This will cause your bill to deducted by an amount of 1/3.7, rounded to the nearest $5. If you scheduled a make-up, which we always recommend, please do NOT submit this form. This form is only required for lessons that are cancelled by the teacher and not rescheduled.

Teacher Name

First Name

Last Name

Teacher Email

Parent Name

Student Name

Date of Cancelled Lesson

YYYY

Have you scheduled a make-up lesson?

If a make-up is scheduled, please do NOT submit this form.