FORTISSIMO

WITHDRAWAL FROM

yamaha lesson notice                                                        Form - F91

If you would like to withdrawal from Yamaha music lessons, please use the following form to give us notice

Top of Form

Student's First Name :________________________ Student's Last Name :___________________________ 

Parent/Guardian's First Name:__________________ Parent/Guardian's Last Name:____________________ 

E-Mail:_____________________________________________

Phone:_____________________________________________

Teacher:____________________________________________

Lesson Name: Music Fantasy/ Music Wonderland/ JMC/ YMC/ JXC/ JAC/ JNC/ JSAC/ Private/ Adult/ Other:________________________________________________________________________________

Lesson Day:_________________________________________

Lesson Length:_______________________________________

Lesson Start Time:____________________________________

Reason for withdrawal: No enough interest/ Cost/ Time commitment/ Location/ Yamaha Music school policy

/ Not enough availability/ Teacher/ Other:_____________________________________________________

Will you attend your final lessons? Yes/ No

 

 

Bottom of Form

When will my lessons end and tuition stop being billed? 

If withdrawal is submitted on or before the 1st of the current month:

Lessons will continue until the end of the current month and you will not charged the next month’s tuition. Students are billed regardless of attendance during the final lessons.

If withdrawal is submitted after the 1st of the current month:

Lessons will continue until the end of the next month and you will be charged full tuition for current month. Students are billed regardless of attendance during the final lessons.

 

________________________________________________________________________________________________

Office use Only

Date received:________________________ Staff name and initial:____________________________________________


Stop Auto Payment set up:____________________________________________________________________________