Form

Enrollment Change Request Form

We appreciate you communicating with us about your Breathe For Change program. Please complete this form and click Submit to request a change to your enrollment.

Begin by reviewing the Terms & Conditions.

If you would like to connect with a member of the B4C Team before making a decision about your enrollment, please schedule a call here.

First name*

Last name*

Email*

Please select your current program.*

Module 1: Mindfulness, SEL, and Yoga Teacher Training

Module 2: Transformative TEACHing and Leadership Training

Module 3: Master's Practicum

Post-Graduate Certificate Practicum

Please select your reason(s) for this change in your enrollment.*

For cohort changes only, please select one of the following options

The first live session of my current cohort is more than a week ahead of today, so I do not owe a fee.

Please process my cohort change fee immediately, using the card on file.

I am on on a B4C payment plan. Please pause my tuition for this month and process the cohort change fee instead, using the card on file.

Please contact me to use a different payment method for the cohort change fee.