APPLICATION AND STUDENT ENROLLMENT CONTRACT FOR BRENDA'S ACADEMY OF PROFESSIONAL DOG GROOMING

I hereby apply for enrollment with Brenda's Academy of Professional Dog Grooming, covering a course of instruction in: DOG GROOMING to be completed in sixteen weeks (16 weeks).

Choose the date of the session you wish to attend:

STUDENT INFORMATION

First Name

MI

Last Name

Address 1

Address 2

City

Province/State

Postal Code

Phone

Email Address

Education Level Completed:

FEE CONFIRMATION

I promise to pay the following course related fees:

Registration Fee: $150.00

Text Books: $100.00

Student Protection Fee: $40.00

Grooming Tools: (approx.): $700.00 + HST

Tuition Fee: $4000.00

I understand that if my enrollment application is not accepted by the Academy, I will receive a full refund of the Registration Fee paid to the Academy. If I am accepted and choose not to attend the course, my Registration Fee will not be refunded.

I hereby agree to the above statement:

GUARANTEE FOR PERSONS NOT OF AGE

Any person not of age must have the following Guarantee signed by parent, guardian, employer, or other responsible person 19 years or more of age. Guarantee by applicant's spouse is not acceptable. I waive notice of acceptance of this Guarantee.

Guarantor Information:

First Name

MI

Last Name

Address 1

Address 2

City

Province/State

Postal Code

Occupation

Relationship to Student

Date:

As the Guarantor for this applicant, I hereby agree to the above statements:

CONFIRMATION OF APPLICATION

I hereby acknowledge the information presented on this application is accurate and truthful to the best of my ability and agree to all the terms and conditions as presented in the application.

Indicates Response Required