Withdrawal Form

Parent Name *

First Name

Last Name

Final Class Date

Enter requested date here. NOTE: If you have any remaining paid classes, you will receive a class credit on your LFS account.

MM

DD

YYYY

BY CHECKING BELOW, I UNDERSTAND: ANY REMAINING MAKE-UPS EXPIRE ON MY LAST DAY OF CLASS, OUR TIME SLOT WILL BECOME AVAILABLE FOR ANOTHER SWIMMER. IF THERE ARE ANY REMAINING PAID LESSONS AFTER MY REQUESTED FINAL CLASS DATE, A CLASS CREDIT WILL BE PLACED ON my LFS ACCOUNT. *

Yes, I understand