Disenrolment Form

Student First Name *
Student Surname *
Student Year Level *
Which instrument would you like to cease learning? *
When would you like lessons to cease? *
Students are welcome to attend lessons during the 4-week notice period. Would you like the student to attend the remaining lessons? *
Please provide a brief reason for discontinuing instrumental lessons *
Do you have any feedback for the Performing Arts Department regarding Private Music Tuition at Ruyton? If you would prefer, you are always welcome to call to discuss any feedback by contacting 9290 9327.
Parent / Guardian First Name *
Parent / Guardian Surname *
Date *

Please leave the next box blank or your submission will not be accepted: