We're sorry to see you go, but we appreciate your time with AWSOM!

Please note that unless in the case of teacher cancellations, refunds will not be issued for mid-month withdrawals.

Student Name

First Name

Last Name

Parent/Guardian Name

First Name

Last Name

Teacher Name

Reason For Leaving

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Date of Last Lesson

Refunds will not be issued for mid-month withdrawals.

YYYY

Number of Students Withdrawing

Have you notified your teacher?

If not, we are happy to do so for you.

Yes

Email to Remove From Mailing List

Feel free to leave this blank if you do not wish to unsubscribe at this time. You can always unsubscribe directly from the email or by reaching out to hello@awsom.info.