ENROLLMENT AGREEMENT

MASSACHUSETTS ACADEMY OF CANINE COSMETOLOGY
17 GRAF ROAD
NEWBURYPORT, MA 01950
978-499-7712
MACCGROOMING.COM

STUDENT NAME: ___________________PHONE:______________________
ADDRESS:__________________________________EMAIL:______________________
PROGRAM OR COURSE NAME:______________________________________________________

ENTRANCE REQUIREMENTS HIGH SCHOOL DIPLOMA/GED
CLOCK/CREDIT HOURS 450
PERIOD BEYOND WHICH LATE REGISTRATION WILL NOT BE ACCEPTED AFTER 30 DAYS PRIOR TO CLASS START DATE
DATE BEGINS: FEBRUARY 13, 2012-JULY20, 2012 MONDAY, WEDNESDAY & FRIDAY 8AM-3PM
BEGINS JULY 30, 2012 ENDS JANUARY 4, 2013 MONDAY, WEDNESDAY & FRIDAY 8AM-3PM
BEGINS OCTOBER 18, 2011 ENDS MARCH 23, 2012 TUESDAY, THURSDAY & FRIDAY 8AM – 3PM

BEGINS OCTOBER 15, 2012 ENDS MARCH 22, 2013 TUESDAY, THURSDAY & FRIDAY 8AM-3PM


TUITION FEE: $_________
BOOKS: $_________
SUPPLIES: $_________
OTHER CHARGES: $_________
TOTAL CHARGES: $_________
DISCOUNTS: $_________
ADJUSTED TOTAL CHARGES: $___________

ESTIMATE OF ADDITIONAL EXPENSES TO BE INCURRED BY STUDENT:

STUDENT’S METHOD OF PAYMENT:

___ CASH ___ PRIVATE STUDENT LOAN____
CHECK ___ FEDERAL OR STATE STUDENT LOAN_____
 SCHOOL PAYMENT PLAN ___ CREDIT CARD ____
OTHER: ______________________ ___

RETAIL INSTALLMENT AGREEMENT_____________________



REFUND POLICY (AS PER M.G.L. CHAPTER 255, SECTION 13K):

1. You may terminate this agreement at any time.
2. If you terminate this agreement within five days you will receive a refund of all monies paid, provided that you have not commenced the program.
3. If you subsequently terminate this agreement prior to the commencement of the program, you will receive a refund of all monies paid, less the actual reasonable administrative costs described in paragraph 7.
4. If you terminate this agreement during the first quarter of the program, you will receive a refund of at least seventy-five percent of the tuition, less the actual reasonable administrative costs described in paragraph 7.
5. If you terminate this agreement during the second quarter of the program, you will receive a refund of at least fifty per cent of the tuition, less the actual reasonable administrative costs described in paragraph 7.
6. If you terminate this agreement during the third quarter of the program, you will receive a refund of at least twenty-five percent of the tuition, less the actual reasonable administrative costs described in paragraph 7.
7. If you terminate this agreement after the initial five day period, you will be responsible for actual reasonable administrative costs incurred by the school to enroll you and to process your application, which administrative costs shall not exceed fifty dollars or five percent of the contract price, whichever is less. A list of such administrative costs is attached hereto and made a part of this agreement.
8. If you wish to terminate this agreement, you must inform the school in writing of your termination, which will become effective on the day, such writing is mailed.
9. The school is not obligated to provide any refund if you terminate this agreement during the fourth quarter of the program.

Administrative Costs Equal: $50.00
I have been provided a copy of the school’s catalogue and policies in a manner of my choosing and I am initialing my choice:
___ hard copy ___ USB Drive ___ read-only CD-Rom ___ send via email
___ I will download the catalogue and policies from school’s website www.maccgrooming.com

Student’s Initials
___ I understand this contract will not be in force and effect until signed by both myself and a school representative.
___ I have received a copy of the school’s complaint procedures policy.
___ I understand the refund policy as stated above.
___ I understand that coursework and/or credit from this school may not be transferable to other institutions of education and acceptance is at the discretion of the receiving institution.

This school is licensed by the Massachusetts Department of Elementary and Secondary Education, Office of Proprietary Schools. Any comments, questions, or concerns about this school’s license should be directed to proprietaryschools@doe.mass.edu or 781-338-6048.

STUDENT’S SIGNATURE_______________________DATE:___________
PRINT STUDENT’S NAME: ______________________

IF THE STUDENT IS UNDER THE AGE OF 18,
PARENT/GUARDIAN:_______________________DATE:_____________
PRINT PARENT/GUARDIAN’S NAME: _____________________

SCHOOL OFFICIAL’S SIGNATURE: ___________________DATE:_____
PRINT SCHOOL OFFICIAL’S NAME:___________________________

I, the student, have received a completed and signed copy of this agreement on date:_______ ______(student’s initials)