Enrollment Agreement For Instruction In: BERKOWITS SCHOOL 107-25 Metropolitan Avenue Forest Hills, New York 11375 (718) 544-4234  Fax (718) 544-2589 _______________________20_________ I,____________________________________ , hereinafter called the student, hereby apply for enrollment and upon acceptance, do enroll myself in the Berkowits laser Institute, hereinafter called the School, for the hereinafter described course of instruction, pursuant to and in accordance with the following provisions: 1) Course of Study: Laser Hair Removal. Start Date________ Hours of School operations: MON.-FRI. 9-6. 2) Schedule of Sessions and hours: 8 HRS PER DAY Day Session: 40 hours per week: MON.-FRI. 9-1; 2-6 (LUNCH 1-2) 1 WEEK 3) Fees: Enrollment fee:................................$100.00 Tuition fee.......................................$2800.00 Other fees: Student Kit, Instruments, Manual..$100,00 TOTAL Cost of Instruction.............$3000.00 4) Refund: In the event a student fails to enter, withdraws or is discontinued from instruction, the following refund policy shall apply: 1.Upon signing this enrollment agreement, the school may retain a $100 non-refundable registration fee. 2.If cancellation or termination occurs prior to entering into instruction, all tuition monies collected by the School will be refunded. 3.After the student has begun instruction and wishes to cancel, withdraw or discontinue, based on the student's last physical day of attendance, the School shall receive and retain the following sums: A)The stated cost of such books and equipment as have been issued by the school and accepted by the student, plus If termination occurs school may keep 0-15% of the program...........................10% 16-30% of the program.........................25% 31-45% of the program.........................50% 46-60% of the program.........................75% After 60% of the program.....................100% Any payments made to the school in excess of the above amounts shall be refunded within 30 days. 5) Rules and Regulations: The school reserves the right to dismiss a student for failure to make the agreed installment payments when due, or failure to attend classes punctually, breach of school rules or regulations, or for any cause the school deems necessary for the good of the school. While placement assistance service is provided. it is understood that the school cannot promise or guarantee employment to any student or graduate. The certificate of completion is to be withheld until all fees and charges have been met. A copy of the written contract and school catalog has been received by me at the time of execution: Signature of Student______________________________________ Date of Birth____________Social Security No.______________ Signature of Payor________________________________________ Address___________________________________________________ __________________________________________________________ Zip#_________________ Telephone_________________________________________________ Payment herewith $_______________________________________ Accepted: By________________________________________________________ Authorized Signature The agent who enrolled me was____________________________ __________________________________________________________ Cert. No.:______________________ I have received a copy of the N.Y.S. Disclosure Material. ___________________________ Students Signiture ________________ Date