Enrollment Agreement Form
Student's Name
First Name Last Name
Date of Birth
Month Day Year
Date
Age
Email
example@example.com
Phone Number
Student's Address
Street Address
Street Address Line 2
City State / Province
Postal / Zip Code
Program Name
PAYMENT DETAILS
The break down of enrollment fee is listed below:
Tuition Fee $10000
Registration Fee $10
Books $300
School Supplies $100
Total Cost $10410
REFUND POLICY
- If you decided to cancel your enrollment within a week of school, then we will be providing a full refund of the tuition fee.
- If it is more than 15 calendar days, then only have will be refunded.
- If it is more than 30 calendar days, we will not be providing any refund anymore which means the student is advisable to attend classes.
ATTENDANCE POLICY
- The student should be present all the time except when he/she is sick or an emergency comes up.
- If the student has 5 unexcused absences in one month, the parent/guardian will be notified.
- The student can also be under probationary if this problem continues.
ACADEMIC PERFORMANCE
- The student is required to have an average grade of 1.5-2.0.
BEHAVIOR
- The student should always practice good manners and right conduct. Students who violate will receive a verbal warning and might end up calling the parent for repeat offenses
By signing below, I acknowledgment the agreement stated in this form. I also confirmed that all information I entered in this form is true and accurate.
Signature of Student
Clear
Date Signed
Month Day Year
Date
Parent/Guardian Name
First Name Last Name
Signature of Parent/Guardian
Clear
Date Signed
Month Day Year
Date
Should be Empty:

Tuition Fee	$10000
Registration Fee	$10
Books	$300
School Supplies	$100
Total Cost	$10410

Enrollment Agreement Form