Dru Form Test | Farber Swim School

Exit Form (Dru Copy)

Today's Date *

Participant 1 *

First

Last

Participant 2

First

Last

Participant 3

First

Last

Participant 4

First

Last

Parent/Guardian name (if participant under 18)

First

Last

Email *

Phone number *

Last lesson date *

Exit forms must be submitted 2 full days before the next lesson that you do not want to attend.

Instructor's name *

Put "unknown" or "NA" if you don't remember.

Reason for leaving: *

Would you like to leave a message for your instructor?

Would you like to be on the Wait-list to return in the future? *

Yes, I will submit the Wait-list Request.
No.

IMPORTANT! PLEASE READ: We will keep any credits on your account for future use. If you prefer to receive a refund, check the box below. *

I would prefer a refund (will take 90+ days)
I understand multi-month invoices are not eligible for refunds
Does not apply to my exit

Please note: refund checks take 90 days to process and are mailed to the street address we have on file. Multi-month payments are not eligible for refunds, but the credits will remain on accounts until used by swim family.

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