I am choosing to withdraw my dancer from Balance Dance Studios. I agree to pay any remaining balance on my account before fully withdrawing. If I have not paid the account balance after the last class, I give permission to Balance Dance Studios to charge the balance without preapproval as stated in my registration agreement. I acknowledge that if for some reason, the balance is uncollectible, it will be sent to a third party collection agency with additional penalty fees. I have read and fully understand this form and agree to all of Balance Dance Studios withdraw policies.