Program Exit Request

When you are ready to leave regularly scheduled lessons you must fill out the below form (also available printed in our office). Each family in a semi-private lesson must turn in a separate form.

Billing for lessons stops on the date exit forms are turned in, or on a later date specified on the exit form by the participant or parent/guardian.

If you don't contact us to leave the program, and don't show up for lessons it is considered a "no-show". After 2 consecutive no-shows, with no contact from the swimmer or parent, the swimmer will be removed from the FSS program & charged for up to 2 no-shows.


Participant Name(s)



Parent Name(s)
Parent Email
Last Lesson/Class Calendar
Reason for Leaving
Instructor
Message for Instructor
 
Please read these important bullet points before sending in your exit form

  • Balance on account: if you have a balance due, we will contact you shortly about paying your balance.
  • Credit on account: we will keep any credits on your account for future use.
    * If you prefer to receive a refund within 90 days check this box:
Fun at the Pool!
9470 SW Beav. Hills. Hwy.
Beaverton, OR 97005
info@farberswimschool.com
503.292.1255

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