HSW LLC/ARC Class Transfer Form

The class transfer fee is $25.00 and must be received to transfer class dates. Participants must submit the Class Transfer & Waiver Release Forms online at least 72 hours prior to the original class date. Upon receipt for Participants may transfer a total of one time and training must be completed within 90 days of the original class date. Please choose a class date and location you will be able to attend. If no classes are available, a course will be planned within 90 days, or the original class fee can be credited for use on other Heart Strong Wellness LLC Services. Feel free to contact us with any questions. Thank You.

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* 1. First Name

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* 2. Last Name

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* 3. Phone #

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* 4. Email

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* 5. Participant Age

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* 6. Date of Birth

YYYY

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* 7. Reason For Transfer

Schedule Conflict

Late to Class

Prerequisites Not Met

Illness or Death in Family

Other

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* 8. Which class are you transferring from?

Class & Date

Location

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* 9. What class would you like to transfer to?

Class & Date

Location

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* 10. Should you wish to transfer credit to other Heart Strong Wellness Services, please indicate:

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* 11. Your request will be processed once the Transfer fee of $25.00 is received by Heart Strong Wellness LLC.

You have read and agree to the terms of the Class Transfer Policy.