Riders First Reschedule Request Form
Thank you for choosing Riders First. We understand that schedules change and sometimes you need to make adjustments. This form asks for some basic information that we need in order to process a reschedule. Once the fee is paid the reschedule will be processed (if avaliablity) and you will be notified via email.
Name
*
First Name
Last Name
Email
*
The email you used to register with.
Phone Number
*
Please enter a valid phone number.
Location of Current Class:
*
Anderson
Bargersville (Center Grove)
Clarksville
Fort Wayne
Indianapolis
Lafayette (Hunters Moon)
Michigan City
Plainfield (Indy West)
Richmond
Schererville
Date Of Current Class:
*
-
Month
-
Day
Year
Location You Wish to Move To:
*
Anderson
Bargersville (Center Grove)
Clarksville
Fort Wayne
Indianapolis
Lafayette (Hunters Moon)
Michigan City
Plainfield (Indy West)
Richmond
Schererville
Date You Wish To Move To:
*
-
Month
-
Day
Year
I understand this payment is Final and Non-Refundable. If you cannot attend, do not attend, are counseled out, or fail to complete any portion of your training or testing, you forfeit your registration and registration fee. There are no guarantees you will pass this training or testing. We will not provide refunds for any reason.
*
Yes
Date of Birth
*
Signature
*
Date
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Riders First Reschedule Fee
*
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Reschedule Fee
Non-Refundable
$
50.00
Quantity
1
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10
Pay with PayPal
Please click one of the PayPal options to complete payment and
submit
the form.
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