Instrumental Program Withdrawal Form

Student Name(Required)

First Last

Instrument

Year Level

Instrumental Tutor

Reason for Withdrawal

I wish to withdraw my child from Music Tuition at the end of (please tick):

The Year

Term 2

Term 3

Term 4

ACKNOWLEDGEMENT
I understand that a terms notice is required, and lessons will cease at the end of the following Term on receipt of this form.
I understand that, as per the Terms and Conditions of the Music Tuition Agreement, our request to withdraw from the Instrumental Program must be received by the following dates. Failure to do so will result in the application of fees on the school account as required.
Students not continuing music tuition into the new year, the application to withdraw must be received by Friday Week 8, Term 4.
Students are unable to withdraw from music tuition at the end of Term 1.
For withdrawal at the end of Term 2, the application to withdraw must be received by Friday Week 8, Term 1.
For withdrawal at the end of Term 3, the application to withdraw must be received by Friday Week 8, Term 2.
For withdrawal at the end of Term 4, the application to withdraw must be received by Friday Week 8, Term 3.
I hereby give notice of my child’s intention to withdraw from the Music Tuition lesson program.

CHECKLIST FOR WITHDRAWAL

To ensure a smooth process, please ensure you have completed and/or are aware of the following:

I have returned the hired instrument (if applicable).

I have submitted the withdrawal form with the required notice and acknowledge that if I have missed the withdrawal deadline, I am still liable for all fees charged.

I understand that any lessons missed due to absences deemed invalid by the College and Music Department will not be refunded.

Signature

Date