We’re sorry to see you go!

Please fill out & submit this form if you wish to have your child withdraw from a class.

Must submit an Online Drop Request by the 20th of the month prior to their requested drop month.

When a request is processed you will receive an email confirmation.

"*" indicates required fields

School Year:*

I understand I must have a Client Agreement also on file and I am responsible for reviewing and submitting it promptly.*

Homework Guidance:*

If your child is of the proper age and size, do you authorize them to ride in the front seat if necessary?*

Allergies & Medical Concerns:*

Below please list any allergies or medical concerns RAD Gymnastics should be aware of. Please be as detailed as possible.

Special Requests & Notes*

Below please list any special requests and/or notes you would like to convey to the After School staff including the time and class type you would like your child to have. Please note that it is not a guarantee that we will be able to get your child in the requested time and class type, however if we are unable to we will place your child on a waitlist.

Signature:

AND I, the minor’s parent and/or legal guardian, understand the nature of the above referenced activities and the Minor’s experience and capabilities and believe the minor to be qualified to participate in such activity. I understand that I am signing this document regarding my child who is named below and that all which is written above applies to this agreement with regard to my child and/or other children who I am signing for below.

Full Name of Participant*

Participant's DOB*

Your Email*

Your Full Name*

Your Signature*

We’re sorry to see you go!

Signature:

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