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1702 Nisson Road, Tustin, CA 92780 (Pool)

100 West Main Street, Ste. 4, Tustin, CA 92780 (Scheduling Office)

Phone: 714.832.8910         Fax: 714.832.4081           Email: info@bluebuoy.com

Withdrawal Form

If you will be taking a break from lessons, please submit this form at least 2 weeks prior to your planned stop date, so proper adjustments can be made for the next billing cycle.

Once received by the scheduling office, we will contact you to confirm your request.

**If you are taking a break, your make up lessons will need to be scheduled while you’re in a paid enrollment, they DO NOT extend your current enrollment. Any pending make up lessons after your break will hold on the account and will be available again once you re-enroll. If you should have any questions or would like to schedule a make-up lesson please call us at 714-832-8910.

  • MM slash DD slash YYYY
  • (Time Format HH/MM/AM-PM)
  • MM slash DD slash YYYY
    (Minimum 2 weeks after form is submitted)
  • We would love to see you again. Please provide your future schedule preferences:

  • We would like to return

  • (Approx. Month)
  • for a lesson with

  • (Teacher preference, if any)
  • Our availability will be

  • (Approx. Time)
  • on

  • For a

  • Have a note for scheduling office? Enter it in the field below.