"Caring For Others" Academy, Inc. - PAY AND REGISTER FOR CLASSES

"Caring For Others" Academy, Inc. - PREPARE TO CARE


REGISTRATION FORM (BEFORE FINALIZING YOUR TRANSACTION, CLICK ON AND READ THE REGISTRATION POLICIES)
DATE
PROJECTED DATE OF CLASS
FIRST NAME
LAST NAME
ADDRESS
HOME PHONE
CELL PHONE
EMERGENCY CONTACT NAME
EMERGENCY CONTACT NUMBER
ARE YOU 18 YEARS OR OLDER YES NO
HAVE YOU EVER BEEN CONVICTED OF A FELONY YES NO
CLASS OPTIONS
SIGNATURE LINE (PLEASE TYPE YOUR NAME)
Application Fee must be added to your cart as well, or your class date will be postponed until it's recieved! Please Sign your name stating that you have read and agree to said terms.

PAYMENT MUST BE MADE AND REGISTRATION FORM MUST BE COMPLETED IN ORDER TO REGISTER FOR CLASS! $25.00 APPLICATION FEE MUST BE PAID BEFORE ORDER FINAL.

* Please Include your application fee so this does not interfere with your class schedule.

By placing my name on the signature line above. I agree to allow Pay pal to debit the debit/credit card I provide for the amount of services I selected. I understand that I am responsible for showing up on time for the class(es) that I am signing up for and if for some reason I am unable to attend. I will contact "Caring For Others" Academy, Inc., Immediately. I also understand that all transactions and funds are non-refundable. If for any reason that I cannot attend the class(es) that I have selected. I am aware as a courtesy of Caring for Others Academy, Inc., I am able to apply all funds toward other classes.

*ANY MISREPRESENTATION OR FRAUDULENT ACT, KNOWINGLY OR NOT, WITH THE CREDIT CARD INFORMATION PROVIDED WILL BE PROSECUTED TO THE FULLEST EXTENT OF THE LAW!*

By placing my name on the signature line above. I understand that classes start on time and the class doors will be locked once class begins. I acknowledge that I have been notified that if I am late I will not be allowed entry of class on that day and I will be responsible for any missed work for that day. I also understand that the instructor will not review information from the day that I missed unless it is included in the regular class schedule.