Withdrawal Form

We hope you have enjoyed your classes at Auburn Dance Academy. We will miss you!

In order to withdraw from class, you must submit your request a full 30 day prior to your withdrawal date.

Your account will be debited a full month of tuition after your form is submitted.

Please complete the form below and we will contact you to settle your account.

Your Name:

Dancer Name:

Phone Number:

Class, day, and time to withdrawal from:

Your child instructor(s):

Why have you chosen to discontinue dance class?

If you choose other, please tell us why below:

Do you plan on returning to class at a later date?

What was the best part of your experience at ADA?

How likely are you to recommend Auburn Dance Academy to others?

Please elaborate:

We appreciate your business. Thank you!