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SCSC Registration Withdrawal

Parent Name *

Parent Email *

Phone *

Student Name(s) *

Date of last lesson student(s) will attend *

Reason(s) for Withdrawal
MovingMedicalScheduling ConflictTaking a BreakOther

Comments and Suggestions

I plan on re-enrolling in swim lessons at Stony Creek Swim Center in .

I understand that withdrawal forms must be received by the 10th of the month in which I am exiting. Forms received after that will go into effect for the next billing cycle. Withdrawals are final. If you change your mind, you must re-enroll. Stony Creek Swim Center does not issue refunds.

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