Student’s Name________________________ Date of Birth (Day and Mo.)______________
Address__________________________________________________________________
Home Phone ( ) ____________________Work Phone ( ) ____________________
Email address ____________________________Fax Number ( ) _____________________
How did you hear of the school? _______________________________________________
Program/Course Data: _______________Total Hours________________
Start Date ___________Completion ____________
Type of Instruction: Classroom with reading and practice required outside of class

Tuition and Fees:
1. School Administration fee $200 (Waived by early enrollment 7/15/08 for Hypnotherapy programs or early enrollment 7/15/08 for HypnoticCoaching TM ) You will save $200!
2. Tuition: _____________All Books/Materials included
Total Cost of Program: ______________plus School Administration Fee___________
If payment option is chosen – Please note there will be a 1% to 5 % interest charge on total cost of program.
Schedule of Payments Different programs will have different payment schedules.
Deposit $200 ________ ______
Date: ________Date: ________Date:________ Date:________ Date:________
Date:________ Date:________ Date: _______Date_________ Date: _______
Date: ________ Date_________ Date:________ Date: ________Date_________
Date: _______ Date: ________ Date__________

By signing below, the student agrees to pay Colorado Coaching and Hypnotherapy Training Institute, hereinafter referred to as the school, the total stated tuition and fees. The school agrees to provide the occupational training in accordance with the provisions of Catalog Volume 1 2008. Payment of all monies due shall be a condition of continuing enrollment. Upon Satisfactory completion of all academic and skill requirements and when all financial obligations to the school have been met, the school will award a _________________certification. The student and school understand that this enrollment agreement, WHICH INCLUDES THE REFUND POLICY may not be amended except in writing signed by both parties.

Postponement of Start Date
Postponement of a starting date, whether at the request of the school or the student, requires a written agreement signed by the student and the school. The agreement must set forth: A. Whether the postponement is for the convenience of the school or the student, and: B. A deadline for the new start date, beyond which the start date will not be postponed. If the course is not commenced, or the student fails to attend by the new start date set forth in the agreement, the student will be entitled to an appropriate refund of prepaid tuition and fees within 30 days of the deadline of the new start date set forth in the agreement, determined in accordance with the school’s refund policy and all applicable laws and rules concerning the Private Occupational Education Act of 1981.

Refund Policy
Students not accepted by the school and students who cancel this contract by notifying the school within three business days are entitled to a full refund of all tuition and fees paid minus the School Administration fee of $200 and the $150 cancellation fee. In the case of students withdrawing after commencement of classes, the school retains the School Administration fee of $200 and the $150 cancellation fee plus a percentage of tuition which is based on the percentage of contact hours attended, as described in the table below. The refund is based on the last date of recorded attendance. The student will retain the books.

REFUND TABLE

Minus the School Administration fee of $200 and the $150 cancellation fee

1. The student may cancel this contract at any time prior to midnight of the third business day after signing this Contract.
2. The official date of termination for refund purposes is the last date of recorded attendance. All refunds will be made within 30 days from the date of termination.
a. The date on which the school receives notice of the student’s intention to discontinue the training program; or
b. The date on which the student violates published school policy, which provides for termination.
c. Should a student fail to return from an excused leave of absence, the effective date of termination for a student on an extended leave of absence or a leave of absence is the earlier date the school determines the student is not returning or the day following the expected return date.
3. The student will receive a full refund of tuition and fees paid if the school discontinues a course/program within a period of time a student could have reasonably completed it, except that this provision shall not apply in the event the school ceases operation.
4. Complaints, which cannot be resolved by direct negotiation between the student and the school may be filed with the Division of Private Occupational Schools of the Colorado Department of Higher Education 1380 Lawrence St., Suite 1200, Denver, CO 80204 3038942960. There is a two year limitation on the Division taking action on student complaints.
5. The policy for granting credit shall not impact the refund policy

I HAVE RECEIVED A COPY OF THIS ENROLLMENT AGREEMENT
__________________________________________ ____________________
Student Signature /Date
________________________________________ ___________________
School's Licensed Agent/ Date