Registration Name Phone Email How did you hear about the course? (If you were referred by someone, please indicate by whom as well as their email address if you have it – so that we can thank them.) Briefly describe your professional background (What is your prior education/experience with musculo-skeletal anatomy? How long you’ve been practicing your profession? Where did you do your training?) What do you hope to get from this course? Payment Options Please indicate your payment options by checking the appropriate boxes below: Paying in full: $6,000 Paying $600 deposit, and $5,500 balance by the first day of class ($6,100 total) * A separate link will be emailed to you to complete the payment prior to class Payment Plan: paying $600 deposit, followed by 6 payments of $950 ($6,300 total) PAYMENT PLAN AGREEMENT I, the understated, would like to participate in a payment plan for the upcoming Body Tuning® Certification course at Tatz Studio.I am submitting a $600 down-payment with my registration, and agree to pay $950 per month for six (6) months thereafter ($6,300 total) I understand that my first monthly payment will be due on the first day of class, that subsequent payments will be due on the first class of each month, and that a late payment fee of $25 will be assessed if I fail to make my payments by the 2nd class of each month. I further understand that should I need to be absent for portions of the course, or should I decide to drop out of the course at any time after the commencement of the course, I will still be responsible to make the monthly payments until the course has been paid for in full. Please Type and initial your name below to indicate your understanding of these terms. Name Initials Date WITHDRAWAL POLICY If you decide to withdraw from the program, and you do so prior to the start date of the course, you will be given a full refund minus a $100 processing fee. However, please note that once the course begins there will be no refunds given, for any reason. If unforeseen circumstances arise that prevent your continued attendance in the course after it has begun, you can transfer your enrollment to a friend or colleague, who would pay you directly. Please Type and initial your name below to indicate your understanding of these terms. Name Initials Date
