CB Healing Institute

101 East 9^th Avenue #13B

Anchorage Alaska 99501

enroll today @ 907.248.8961

1200 Hour Massage Therapy Program

Enrollment Contract

______________________________________________________________________

Last Name                                                      First Name                                            Middle

______________________________________________________________________

Address                                                           City                              State                       Zip

______________________________________________________________________

Home Phone               Work Phone                    Cell                      Best time to reach you

Social Security Number                                 DOB                                    E-mail address 

Student Enrollment Information

____ Catalog Received

Initials                                     

____ 1200-Hour Massage Therapy Program - Distance Education  600   Hours

Initials                                                                 On-site Training       600   Hours   

Distance Education Portion

Distance Education Start Date: _____________

Distance Education End Date:  _____________

Distance Education Course materials given to student on: _____________

Note: Distance Education study must be completed within 3 months of students start dates

On-site Classroom Training

On-site Classroom Training Start Date: _____________

On-site Classroom Training End Date: _____________

Days of class attendance: _________________________________________________

Times of class attendance: ________________________________________________

DISTANCE EDUCATION REFUND POLICY

The percentage of elapsed classes for distance education is calculated by dividing the number of lessons completed by total number of lessons required.

After the student as completed fifty percent (50%) of the program CB Healing Institute requires the student to remain committed to the entire amount of the tuition.  Consequently, there will be no refund.  Student’s Initial ____________

Students Right to Cancel

Should a student be withdrawn, cancel the enrollment agreement, or be expelled from the school, all refunds shall be made according to the following schedule and will be issued to the student within thirty (30) days after the receipt of notification of the students withdrawal or (30) days after the students last recorded date of physical attendance, whichever is earlier.

1.    If a student cancels the enrollment after three (3) business days of signing the enrollment contract, he/she shall be entitled to a refund of all monies paid to the school minus the registration fee of fifty dollars ($50.00).

2.    A “cooling off” period, which expires at the end of the student’s first scheduled day of attendance, and during which a student, upon submitting written notice to the institution, may cancel the enrollment contract and receive 100% tuition refund minus the application fees.

3.    The students’ rights under this agreement may not be assigned to any other person.

4.    If the school is permanently closed and no longer has offers instruction after a student enrolled, the student shall be entitled to a one hundred percent (100%) refund of all monies paid.

Once a student has begun the program and decides to withdraw, voluntarily or involuntarily, the refund will be based on their last day of physical attendance in accordance with the refund schedule below:

            Total Classes Elapsed                                            Amount of Tuition Refunded

            After instruction begins, but before second day                                    100%

            After the first day through 10% of program                                             90%

            More then 10% through 20% of program                                                80%

            More then 20% through 25% of program                                                55%

            More then 25% through 50% of program                                                30%

            More than 50%                                                                                               0%

1.    For a period of time after instruction has begun but before the second day of classes or the equivalent, the institution shall refund 100 percent of the tuition; after that

2.    For a period of time after the first day of class but not more than 10 percent of the classes has elapsed, the institution shall refund at least 90 percent of the tuition; after that

3.    For a period of time after which greater than 10 percent but not more than 20 percent of the classes has elapsed, the institution shall refund at least 80 percent of the tuition; after that

4.    For a period of time after which greater than 20 percent but not more than 25 percent of the classes has elapsed, the institution shall refund at least 55 percent of the tuition; after that

5.    For a period of time after which greater than 25 percent but not more than 50 percent of the classes has elapsed, the institution shall refund at least 30 percent of the tuition; after that

6.    The institution may require the student to remain committed to the entire amount of the tuition

Enrollment time is defined as the time elapsed between the actual starting date and the date of last date of attendance.  Money due to the applicant shall be refunded within thirty (30) days after receipt of notification of the student’s withdrawal, cancellation or termination.  All items listed as non-refundable are not included in tuition adjustment computations. All refunds to a student must be made within thirty (30) days after receipt of notification of the student’s withdrawal, or thirty (30) days after the student’s last recorded date of physical attendance, whichever is earlier.

This document becomes a legally binding instrument when signed by the student and accepted and signed by an official of CB Healing Institute. The school, as signatory of the enrollment contract, is subject to all claims and defenses of the student or the student’s successors in interest, arising under this contract. 

Our objective is to graduate a quality massage therapist that is immediately employable in the industry.

Tuition method:  Pay in full _____ Grant _____ WIA _____ STEP _____ Scholarships _____ 

Monthly Tuition Payments _________ (Must sign Tuition Promissory Note)

Monthly tuition payment plan ______________________________________________

NOTE: Payment plan can be tailored to student's needs

Admission Requirements

Applicants for admission must possess a high school diploma or General Education Diploma.I verify that I have considered my health and my ability to complete a program in massage therapy at CB Healing Institute and will not hold the school liable for any pre-existing conditions that may limit my ability to perform massage. Neither will I hold the school responsible for injury or illness that I might incur while a student of massage therapy. I have completed this form to the best of my knowledge and I state that the information given here is true and correct.

I acknowledge to have read (or it have it read to me) the terms of this agreement in its entirety.

_________________________________________                _____________________

Signature of Student                                                                       Date

________________________________________                  _____________________

Signature of Parent or Legal Guardian on minor Student                          Date

________________________________________                  _____________________

Signature of School Official                                                          Date