Program Transfer Form - Formstack

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Program Transfer Request

A transfer request must be submitted at least one week prior to the first class meeting date.

Date/Time

:

Name of person requesting transfer*

First Name

Last Name

Phone*

Email*

Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Name of Participant*

First Name

Last Name

Is a refund being requested?*

YES NO

*Check refunds may take 3-4 weeks to process

Recreation Program Area*

Nature Swim Lessons/Aquatics Adaptive Arts & Culture Sports Wellness Other

Program requesting transfer from:*

Activity Number(s)*

Program Start Date

Program End Date

Cost $

Program requesting transfer to:*

Activity Number(s)*

Program Start Date

Program End Date

Cost $

Once you submit this form, it will be sent directly to the Program Supervisor. Your program transfer will be processed within 2 business days.

As soon as your program transfer is complete, you will receive an email confirmation receipt.

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1235 Central Park Drive East, Carmel, IN 46032 | 317.848.7275 | InTrac: 711 | carmelclayparks.com