On Site Program Withdrawal Form

Policy Details:

  1. Notice Requirement:

    • Participants wishing to withdraw from one of our monthly programs must provide a minimum of 30 days’ written notice by submitting this page’s form prior to the desired withdrawal date.
    • Notice must be submitted by using the form below.

  2. Billing and Withdrawal:

    • Billing will continue up to the official withdrawal date

  3. Effective Withdrawal Date:

    • The effective withdrawal date will occur 30 days from when the below form is submitted

  4. Exceptions:

    • In exceptional circumstances, such as medical emergencies or family relocations, the program director may approve a withdrawal with less than 30 days’ notice. Documentation may be required.

Withdrawal Form

Program Withdrawal Form