Swim School Withdrawal

DACA
1080 S. De Anza Blvd.
San Jose, CA 95129
(408) 446-5600 (office)
(408) 446-5689 (fax)
Withdrawal Form
You may withdraw at any time during the month. Withdrawals become effective the first of the month following. No refunds will be given for partial monthly attendance.
Student's Name:
Parent/Guardian's Name:
Parent/Guardian's Email Id:
Swim Day/Time:
     **Please complete a separate withdrawal for each class you wish to cancel.
Day: Time:
Effective:
Reason for Withdrawal: Scheduling Conflict
Moving
Medical
Other:

All withdrawals are final. If I change my mind, I must re-register and I understand that registration is on a space available basis. I understand that my account must be paid in full before the cancellation becomes effective.
I have read and understand the statement above. (Box must be checked to submit form)

Click Submit and you will receive a confirmation email shortly