Course Withdrawal Request - Avenue Road Arts School

Class Withdrawal Form

	All fields are required except where indicated
Name of student to be withdrawn
Email address
Home phone number
Class to be withdrawn from
Day of week of class
Term	Fall Winter Spring March Break Summer
Reason for withdrawal
Authorization	I have read and understand the withdrawal policies and agree to pay any administrative fees and class costs by
Credit for course fees	Please retain credit on file for future registrations (optional)