Discontinue Lessons

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If discontinuing lessons for multiple students enter all the names here separated with a comma.
Note: No further invoices will be issued after the effective date selected above. However, lessons that have been prepaid before the submission of this form will not be refunded.
This question helps us determine if this is a temporary break (i.e. taking a break for the summer) but you plan on coming back at a later time or not.
Let us know if there is anything that Ampersand Music School can do to improve its services.

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