GIR Student FINancial Agreement

GESTALT INSTITUTE OF THE ROCKIES

GESTALT INSTITUTE OF THE ROCKIES

FINANCIAL AGREEMENT

I, ___________________________________ (“Student”) understand and agree that my authorization and eligibility to enroll, continue enrollment, and register for Trainings and the Certificate Program at Gestalt Institute of the Rockies (“Institute”) is expressly conditioned on my acceptance of the terms and conditions set forth below.

1. Acknowledgement of Understanding. By signing this Financial Agreement, I affirm that I have read and understand the Institute’s Financial Policy.

2. Promise to Pay. By enrolling as a Student at the Institute, I accept full financial responsibility to pay all applicable Course Fees, Personalized Training (PT) fees, and any other fees and costs associated with enrollment.

2.1 Course Fees and Costs. I agree to pay the Course Fee attendant to any course. I understand the Institute may, from time to time, amend the cost of any Course Fee.

2.2 Personalized Training. I agree to pay all fees associated with personalized training (PT). I understand that it is my responsibility to coordinate with Institute Faculty to facilitate payment and payment processing of any PT fees. I understand that the Institute may, from time to time, amend the cost of any individual or group PT fee.

2.3 Non-guarantee of Continued Enrollment or Certificate Award. I understand that payment to the Institute of any Course Fees, PT fees, and any other fees and costs associated with enrollment, does not guarantee my continued enrollment at the Institute or its Certificate Program, and does not guarantee that I will be awarded a Certificate in connection with the Institute’s Certificate Program.

3. Method of Billing and Billing Errors.

3.1 Electronic Card Processing. I understand and acknowledge that the Institute offers a payment method in the form of electronic card payment processing. By signing this Financial Agreement, I consent to the disclosure of personal information, including my name, billing address, and electronic card information, as necessary to complete payment processing.

3.2 Responsibility for Billing and Billing Corrections. I understand and agree that it is my sole responsibility to ensure that all billing and payment information is accurate and correct.

3.3 Payments Refused, Returned or Rejected. I agree to pay all fees incurred by the Institute for any payment or financial transaction which is refused, returned, or rejected due to insufficient funds, nonsufficient funds, or fraudulent payment.

4. Minimum Enrollment Policy. I have read, I understand and agree to, the Institute’s Minimum Enrollment Policy, including options available to me if any course must be cancelled due to enrollment shortage.

5. Cancellation and Refund Policy. I hereby acknowledge that I have read and understand the Institute’s Cancellation and Refund Policy, incorporated herein by reference, including my eligibility to receive a refund upon my cancellation of and withdrawal from enrollment of any course.

5.1 I understand that partial refunds for cancellation of course registrations may be permitted under certain circumstances, and that I am not entitled to any refund for cancellations of any course made with 14 days of any course start date.

5.2 I understand and agree that I am expected to pay the full cost of any course which I retake for any reason, including any course retaken for the purpose of fulfilling Certificate Program course requirement hours.

By signing below, I hereby acknowledge that I have read and understand the foregoing, and agree to the terms of the Institute’s Financial Policy and this Financial Agreement.

Date: ____________________.

________________________________

Printed Name of Student

__________________________________

Signature of Student