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Changing Lives Martial Arts - Martial Arts & Fitness for All Ages!
757-797-6004
Students

Martial Arts School Transfer

CLMA Team

Changing Lives Martial Arts Transfer Request

Required Data to be completed by “Transferring Academy” (TA)

Transferring Accademy (TA):
Transferring Academy School#
School Owner:

Transfer Academy has sent a transfer package and/or made a courtesy call/email to one of our local Changing Lives ATA Martial Arts Academies prior to transferring the student:

Transfer Academy membership agreement must be attached to this “Request To Transfer Form”.

Name
MM slash DD slash YYYY
Address

Students permitted to train on membership agreement:

Students Name:
Students Name:
Students Name:
Students Name:
Billing Company Name:
MM slash DD slash YYYY
MM slash DD slash YYYY
MM slash DD slash YYYY
MM slash DD slash YYYY
MM slash DD slash YYYY
Has student earned his/her collar stripe:
MM slash DD slash YYYY
Is this the first time you have transferred a student to one of our local acadamies?

For any membership that has been paid in full for a period of 6 months or longer there may be a $299.00 transfer processing fee that will be paid by the transferring school. The school (TA) may select the student to pay the fee or pay the fee out of the paid in full account that was collected. The Transfer Fee and appropriate paperwork is to be turned in prior to the start of training.