Group Swim Change/Cancellation Request

Cancellation requests may be made at any time; however, fees already paid are non-refundable. Your cancellation will take effect with the next billing cycle on the 1st of the month following your request.

Your Name
Participant's Name:
Change Lessons?:

Effective Change Date:
New Lesson Name:
New Lesson Day:
New Lesson Time:
Cancel Lessons?:
Cancellation Notice Date (Today's Date):
Completed Swim Lessons:
Medical:
Moving:
Seasonal:
Travel:
Dissatisfied:
Scheduling Conflicts:
Financial Burden:
Lack of Use:

Additional Feedback?: