The Laboratory
MEMBERSHIP CANCELLATION FORM

Membership may be cancelled by submitting our ONLINE CANCELLATION FORM below. Cancellation Form must be received 14 days before the final business day of the month to take effect at the end of that month. There are no exceptions.
You may withdraw the cancellation at any time before it takes effect but your teacher and/or time slot can not be guaranteed. A $25 returning student registration fee will be required to re-enroll once the withdrawal takes effect.
All Make-up Lesson Credit(s) on your account expires in 30 days from the cancellation effective date.
Membership is not transferable.
The Laboratory does not provide tuition refunds under any circumstances.
The Laboratory reserves the right to terminate membership, in which case prorated tuition will be refunded.

Today's Date *

Student's Name *

Parent's Name *

For adult students please re-enter your name here.

Phone Number *

Your Email *

Teacher's Name *

Instrument *

Cancellation Reason *

Describe the Teacher's Performance *

What do you like best at The Laboratory? *

Do you have any suggestions for improvement?

What could have been done to accommodate the student's needs?

Would you like to discuss further with a manager?

Submit

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