MIDWEST HYPNOTHERAPY ACADEMY (MHA)

Transcription

1 MIDWEST HYPNOTHERAPY ACADEMY (MHA) Office Address: 4700 W. 147th Street, Suite 201, Apple Valley, MN Phone: 763/ ENROLLMENT AGREEMENT FOR HYPNOTIST CERTIFICATION - Please see Disclosure Statement on bottom of page 3 - THIS COPY TO BE SIGNED AND RETURNED TO SCHOOL- Copy will be made for student upon request. This enrollment agreement, dated, is between the above-named school and Student Name Address Telephone I, (student name printed), do hereby affirm that I have read and fully understand the entire Enrollment Agreement for Hypnotist Certification and I do fully agree with its terms. Student Signature: Date Agreement Signed: Authorized School Administrator Name: Authorized School Administrator Signature: Date School Administrator Signed: Midwest Hypotherapy Academy agrees to provide the following training: HYPNOTIST Certification Training Level(s): Starting Date: Completion Date: Each level of the program consists of a total of four, 1-day classes and homework equaling a total of 50 hours training achieved. Certification is awarded upon successful completion of all classroom and homework assignments. School Copy 1

2 Cost of training This training will cost: Registration Fee...N/A Regular Tuition cost per level:...$1, Books...Included Supplies... Provided by school as needed Materials... Provided by school as needed Early Registration Discount* (applies if enrolled at least one month in advance of class)...$100 Other discounts...$ TOTAL COST FOR THE COURSE...$ Agreement is Binding: This agreement will be binding only when it has been fully completed, signed, and dated by the student and an authorized representative of the school prior to the time instruction begins. This agreement is legally binding upon written acceptance of the student unless cancelled pursuant to the Buyer s Right to Cancel. Changes in the Agreement: Any changes in the agreement will not be binding on either the student or the school unless such changes are acknowledged in writing by an authorized representative of the school and by the student or the student s parent or guardian if he/she is a minor. Effective Date of Acceptance: By signing this document, I certify that I have read and understand the cancellation and refund policy and the complaint procedure; I have received a copy of the school catalog or brochure and I am entitled to an exact copy of this Enrollment Agreement, school catalog, and any other papers I sign. I hereby agree to abide by the conditions set forth herein. Seller s Right to Accept or Refuse an Enrollment Agreement: Midwest Hypnotherapy Academy, Inc. reserves the right to accept or refuse any enrollment agreement. Each applicant will be notified of acceptance/rejection in writing. In the event an applicant is rejected, any and all tuition, fees, and other charges that were paid to Midwest Hypnotherapy Academy, Inc. shall be refunded. Distance School Procedure Notwithstanding anything to the contrary, if a student gives written notice of cancellation within five business days of the execution of the contract or day on which the student is accepted then a complete refund is given regardless whether the program has started. If a student gives written notice of cancellation after five business days of the execution of the contract or day on which the student is accepted but before the first lesson has been serviced by the school, then all tuition, School Copy 2

3 fees and other charges, except 15 percent total cost of the program (15 percent not to exceed $50.00) shall be refunded to the student. If a student gives written notice of cancellation after the first lesson is completed, but before completion of 75 percent of the period of instruction, then the student is assessed a pro rate portion of tuition, fees and all other charges plus 25 percent of the total program cost (25 percent not to exceed $75.00). Resident School Procedure Notwithstanding anything to the contrary, if a student gives written notice of cancellation within five business days of the execution of the contract or day on which the student is accepted then a complete refund is given regardless whether the program has started. If a student gives written notice of cancellation after five business days of the execution of the contract or day on which the student is accepted but before the first lesson has been serviced by the school, then all tuition, fees and other charges, except 15 percent total cost of the program (15 percent not to exceed $50.00) shall be refunded to the student. If a student gives written notice of cancellation after the first lesson is completed, but before completion of 75 percent of the period of instruction, then the student is assessed a pro rate portion of tuition, fees and all other charges except 15 percent of the total program cost (15 percent not to exceed $100.00). If a student is classified as a resident during the cancellation period, Resident School procedures apply. If a student is classified as a distance education student during the cancellation period, Distance Education School procedures apply. Any notice of cancellation shall be acknowledged in writing within 10 days of receipt of such notice and all refunds shall be forwarded to the student within 30 business days of receipt of such notice. This refund policy is not linked to any student conduct policy and any promissory instrument shall not be negotiated prior to the completion of 50 percent of the course. Written notice of cancellation shall take place on the date the letter of cancellation is postmarked or, in the case where the notice hand carried, it shall occur on the date the notice is delivered to the school. The date of execution of the enrollment agreement shall be presumed to be the date of delivery of the notice of acceptance; and if delivered by mail, the postmark date of the letter of acceptance. Termination by the School (Conduct Policy): A student who fails to maintain satisfactory progress, violates safety regulations, interferes with other students work, is disruptive, obscene, under the influence of alcohol or drugs, or does not make timely tuition payments, is subject to immediate termination. School Copy 3

4 Cancellation of Classes: The school reserves the right to cancel a starting class if the number of students enrolling is insufficient. Such a cancellation will be considered a rejection by the school and will entitle the student to a full refund of all money paid to school. Notice to Buyer: Do not sign this agreement before you read it or if it contains any blank spaces. This is a legal document. All pages of this agreement are binding. Read both sides of all pages before signing. You are entitled to an exact copy of the agreement, school catalog, and any other papers you may sign and are required to sign a statement acknowledging receipt of those. Program Description: This program is a certification program in hypnosis methods and applications. Program consists of a total of four levels, each level consisting of 4 daylong classes and homework equaling a total of 200 hours of training. Certification is awarded upon successful completion of all classroom and homework assignments. Buyer s Right To Cancel: See full notice of cancellation on following page. If this contract meets with your approval: Please sign and date on page 1 and also initial (where indicated) the School Copy on pages 1, 2, 3 & 4 and return pages 1, 2, 3 & 4 to: Disclosure Statement Cindy Locher, BCH Midwest Hypnotherapy Academy, Inc W. 147th Street, Suite 201 Apple Valley, MN The Midwest Hypnotherapy Academy is licensed as a private career school with the Minnesota Office of Higher Education pursuant to Minnesota Statutes, sections 141.2I to Licensure is not an endorsement of the institution. Credits earned at the institution may not transfer to other institutions. School Copy 4

5 Buyer s Right To Cancel- SIGN ONLY IF YOU WISH TO CANCEL If you do not wish to participate in the training, you may cancel your contract(s) according to the Terms of Cancellation described below. Terms of Cancellation Not later than midnight of the fifth business day following the post marked date of the school s letter of acceptance. If you cancel, any payments made by you under the contract or sale will be returned within 30 business days following the postmarked date of Notice of Cancellation. Any property traded in and any instrument executed by you will be returned within ten business days following the receipt by the seller of your cancellation notice and any security interest arising out of the transaction will be cancelled. If you cancel, you must make available to the seller at your residence, in substantially as good condition as when you received any goods delivered to you under this contract or sale; or you may if you wish, comply with the written instruction of the seller regarding the return shipment of the goods at the seller s expense and risk. If the seller does not pick up the goods within 20 days of the date of our Notice of Cancellation, you may retain or dispose of them without any further obligation. To cancel your contract, fill in the below requested information, and then deliver by postal service, fax or courier, a signed and dated original or copy of this cancellation notice or facsimile thereof to: Cindy Locher, Midwest Hypnotherapy Academy, 4700 W. 147th Street, Suite 209, Apple Valley, MN It is strongly recommended that the person wishing to cancel confirms within 5 business days that Devin or Rachel Hastings have received the cancelling person s Notice of Cancellation. OFFICIAL NOTICE OF CONTRACT CANCELLATION: PLEASE READ No Signature Needed Unless You Wish To Withdraw Below area to be filled out and sent ONLY if you have already sent in your signed enrollment agreement with payment and then you changed your mind and wish to withdraw. This signed and dated form serves as notice to cancel my enrollment contract with MIACS, LLC within the terms specified in the enrollment and if applicable, any payment contract I signed. Therefore, I (enrollee name) do hereby withdraw my enrollment in the HYPNOTIST Certification Training Level 1 workshop offered by Midwest Hypnotherapy Academy, Inc.. Date: Print Name: Sign Name: School Copy 5