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About
Why Choose Us
Our Family
The Benefits of Music Lessons
FAQ’s
Teach With The Music Studio
Locations
Calendar
Instructions
Piano Lessons
Guitar & Ukulele
Singing Lessons
Drum Lessons
String Lessons
Brass & Woodwinds
Audition Preparation
Adult Music Lessons
Performance
Destination Performance Series
Café Jam
Testimonials
(404) 351-9722
Toggle Navigation
About
Why Choose Us
Our Family
The Benefits of Music Lessons
FAQ’s
Teach With Us
Instruction
Piano Lessons
Guitar & Ukulele
Singing Lessons
Drum Lessons
String Lessons
Brass & Woodwinds
Audition Preparation
Adult Music Lessons
Performance
Destination Performance Series
Café Jam
Locations
Testimonials
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Contact Us
(404) 351-9722
Withdrawal Survey
Withdrawal Survey
Mary Helen Rossi
2021-08-25T11:36:26-04:00
Please enable JavaScript in your browser to complete this form.
Student Name
*
Email
*
Suspension Type
*
Temporary
Temporary
Permanent
Lesson Reduction
Which lesson time you'd like to reduce?
*
If this is a temporary suspension, when do you plan to return?
*
Would a change in lesson time or instructor resolve your issue?
*
Yes
No
Date of last lesson:
*
What is your reason for suspending/reducing your lessons?
*
What did you enjoy the most about your lessons?
*
Is there anything that we could change/improve?
*
Yes
No
If "Yes", please explain:
*
What is your teacher's name? (First, Last)
*
Were you pleased with your instructor?
*
Yes
No
If "No", please explain:
*
Would you recommend our schools to others?
*
Yes
No
If "No", please explain:
*
Please Answer
*
=
I understand that by submitting this form on or before the 15th day of my last month, I am giving notification to The Music Studio Atlanta to cease lessons and further charges to my account. If submitted past the 15th day of the month, I understand I am still responsible for the next month’s tuition whether or not the student(s) attend lessons. As a friendly reminder, the student may take up to 4 make up classes, or substitute a sibling, parent or friend to satisfy any missed lessons.
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