We are sad to see you go.

This Music Withdrawal Form must be submitted by the account holder before a drop from private lesson is considered final. The school of Music at OCMD operate on a 12-month academic year. Please notify your instructor of your desire to withdraw from lessons in addition to completing this form.

Students who withdraw and re-enroll within the same academic year will be charged a $25 re-enrollment fee.

ACCOUNTS WITH TUITION PAID IN FULL
A credit or refund for lessons not received will be provided. Credits are placed on the student’s OCMD account and are available for use for 1 year from the drop date. Refund will be processed 5-10 days from the drop date to the original payment method.

ACCOUNT WITH AUTOMATIC MONTHLY PAYMENTS
This form must be received at least 48 hours befor the next scheduled monthly payment to avoid charges. Once your student’s account is reconciled, you will be charged any tuition fees still due or credited/refunded any overpayments.

Student Name

First Name

Last Name

Birthdate

MM

DD

YYYY

Email

Lesson Information

Please include instructor name, day and time for the lesson(s) you are withdrawing from. If you will be continuing enrollment in other lessons or classes, do not include those below.

Date of Final Lesson

MM

DD

YYYY

Reason for Withdrawing

Do you plan to re-enroll at OCMD?

Comments

Acknowledgement of Refund Policy

The School of Music at OC Music & Dance operates on a 12-month academic year. I understand that a withdrawal request must be received at least 48 hours before the next scheduled monthly payment to avoid charges. Unscheduled make-up lessons are not eligible for refund or credit. I have reviewed the refund policy outlined above.