CUSTOMER FORM:

WITHDRAW FROM ONGOING LESSONS

Withdrawing from Lessons and Billing Cycle

If you wish to withdraw from your ongoing lessons and the 4-week billing cycle, please submit the Withdrawal Form no later than 8:00 AM PST on the last day of the current billing cycle.


Important Reminder:
We are unable to offer reimbursements or financial credits for lessons that have already been billed within the current cycle. To help you stay informed, we send billing reminders via email and text to all enrolled customers one week before each billing date.


2025 Billing Cycle Dates:

  • Q1: Jan 15, Feb 12, Mar 12 
  • Q2: Apr 9, May 7, Jun 4, 
  • Q3: Jul 2, Jul 30, Aug 27, Sep 24, 
  • Q4: Oct 22, Nov 19, Dec 17

Location:
Withdrawal Reason:

Student Lesson Level:
Day Program Occurs:
Program Time:
Withdrawal Options:
Any Enrollments to Keep Active?
Waitlist Preferences:
If "Other" was selected above, please explain:
Parent/Guardian First & Last Name:

Rate your experience at AquaTech Swim:
What would you advise AquaTech to improve?
Were there any outstanding staff you would like to mention?
Additional Comments: