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(602) 992-5790
ARCADIA:
3923 E Indian School Rd,
Phoenix, AZ 85018
PHOENIX:
15801 N. 32nd Street,
Phoenix, AZ 85032
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Withdrawal Form
Michael Hall
2017-06-23T00:47:40-07:00
Withdrawal Form
One week needed to process withdrawals. Withdraw a week before the 1st of the month to avoid future charges.
Date
Drop Date
*
Location
*
Arcadia
Phoenix
Student Name
*
First
Last
Student Name
First
Last
Parent/Guardian Name
*
First
Last
Email
*
Class Name
*
Day
*
Time
*
:
HH
MM
AM
PM
Second Class Name
Day
Time
:
HH
MM
AM
PM
Untitled
SATISFACTION: 1 = POOR; 5 = EXCELLENT
Current Coach
*
1
2
3
4
5
Child's Progress
*
1
2
3
4
5
Customer Service
*
1
2
3
4
5
Reason for taking a break?
*
Any Suggestions on how we could improve your Sunrays Experience?
*
Name
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