Withdrawal/Class Change Form:

Student's Name/Students' Names: *
Student's Name/Students' Names:
Parent/Guardian's Name: *
Parent/Guardian's Name:
I would like to: *
Please select the date on which you would like this withdrawal/change to become effective: *
Please select the date on which you would like this withdrawal/change to become effective:
We would love any feedback that you would be willing to share about your experience at Artistry House and/or the reason for your class change/withdrawal. (All information will be kept confidential).