Please fill out the form below to withdraw your child/children from swimming class. This form must be submitted at least 30 days prior to the last lesson you have your child(ren) enrolled in.

All fields are with an asterisk (*) are required.

* First Name
* Last Name
* Name of Student to be Withdrawn
* Student Class
* Last Date Student Will Attend
* Reason for Cancellation
Comments and/or Questions:
Enter the character you see above