Withdrawl Request Form

Registration in SSDA classes secures your dancer’s place for the entire session. Withdrawing from a class means your dancer will not continue into the next session, and all tuition and fees for the current session will still be due in full.

We understand that schedules and needs can change, and we’re happy to help explore class changes within the same session if space allows. However, withdrawing does not release you from your financial commitment for the remainder of the session.

Important Details:
All fees — including registration, tuition, recital fees, costumes, and merchandise — are non-refundable and non-transferable.
If you withdraw after costume orders have been placed (typically in February for ASCS), costume fees cannot be refunded. We will notify you when your dancer’s costume is ready for pickup.
To formally withdraw, you must complete and submit the withdrawal form. Simply missing class does not count as a withdrawal.
We appreciate your understanding of our session commitment policy, which allows us to plan classes, order materials, and maintain the high-quality experience our dancers deserve.

Parents Name*

First NameLast Name

Parents Email*

example@example.com

Best Contact Number*

Please enter a valid phone number.

Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Students Name*

First NameLast Name

Classes being dropped*

Reason for drop*

Products*

Balance Due On Parent Portal AccountPlease refer to your parent portal account for the amount due.

$ Free

Total

$0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Comments*

By signing and submitting this form I authorize Shining Stars Dance Academy to process payment on my card above for the amount presently due on my parent portal account plus any future tuition due or costume fees due. I understand SSDA's drop policy listed above and understand it will take 2-4 business days to receive confirmation of the withdrawl request for my dancer a receipt of the transaction will be emailed to me.

Signature*

Withdrawal Request Form