Withdrawal

At The Dojo, it is our greatest desire to provide quick and prompt service in all areas of our business. Unfortunately, our prompt service can be hindered when relying on other financial institutions during the withdrawal process. As a result, we must require that a signed and dated Membership Withdrawal Form be received by The Dojo.

Should you decide to re-enroll, the following may apply:

• Your monthly tuition will reflect the then current rate and may be higher than what you were paying.

• By withdrawing from the program, it is possible that the spot reserved for you in class will be given to another student and there may be a waiting list or waiting period before a spot is available in the class or program you desire.

Parent Name*
First Last
Student Name*
First Last
Student Age
Reason for Withdrawal:*
Phone*
Email*
Location*
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