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Withdrawal Request Form

Instrument
Teacher
Weekly Lesson Length
30 mins
45 mins
60 mins
Location
In‑Person (222 Spring St. West Roxbury)
Online - Zoom
Are you submitting this request before or after the 15th (ET)?
Before the 15th (stop charges for next month)
On/After the 15th (stop charges the following month)
Would you like to switch to a different teacher at Horus Academy?
Yes
No
تم تحديد وضع الرسم. يتطلب الرسم استخدام الماوس أو لوحة اللمس. لإمكانية الوصول إلى لوحة المفاتيح، حدد كتابة أو تحميل.
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