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CB Healing
Institute
Enroll today
@ 907.248.8961
350 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
E-mail address
Student
Enrollment Information
____
Catalog
Received
Initials
_____ 350-Hour Massage Therapy Program Initials
Distance Education
150 Hours
On-site Training
200 Hours
Books
Dox,
Fritz, S. (2004). Fundamentals of Therapeutic Massage (3rd ed.).
Fritz, S. (2004). Essential Sciences for Therapeutic Massage (2nd ed.).
Rohen, J., Yokochi, C., & Lutjen-Drecoll, E. (1993). Color Atlas of Anatomy.
NOTE: CBHI will provide equivalent books for unavailable texts
Total calculated expenses are Books, Massage Table, Massage DVDs (Hot Stone
Massage & Full Massage), supplies and uniform.
The
following is a breakdown of tuition:
Application fee (non-refundable)
$ 50.00
Supplies
$ 55.00
Books
$ 272.35
Lab Supplies
$ 249.00
Massage Table $ 399.99
Training DVDs
$ 297.00
Uniform
$ 24.00
Sub Total (non-refundable)
$ 1,347.34
Distance Education (150 Hours)
$ 1,005.00
On-site Tuition (200 Hours)
$ 1,340.00
Distance Education & On-site Tuition (refundable)
$ 2,345.00
Total
$ 3,692.34
Distance Education Start Date: _____________
Distance Education End Date: _____________
Distance Education Course materials given to student on: _____________
Distance Education study must be completed within 4 months of students start
dates
Refund
policy starts at the date of enrollment in the distance education training.
Student’s Initial ____________
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 |
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