Course Registration | Academic Enrollment | 2020 - 2021

Date:

CONTACT DETAILS

Student Name (required)

Additional Student Name

Name of Parents (required)

Street Address (required)

City (required)State (required)Zipcode (required)

Home Phone (required)

Client grants permission to communicate via phone/text/email in regard to any activity related to Valencia Tutors Learning Center services.

I Agree

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REGISTRATION DETAILS

Course 1(required)

Section (required)
Section #1 • June 15 – July 10Section #2 • June 29 – July 24Section #3 • July 13 – August 7
Time (required)
8:00am – 10:30 am10:30am – 1:00 pm1:30pm – 4:00 pm

Course 2 (optional)

Section
Section #1 • June 15 – July 10Section #2 • June 29 – July 24Section #3 • July 13 – August 7
Time
8:00am – 10:30 am10:30am – 1:00 pm1:30pm – 4:00 pm

*Section choice/time is dependent on availability and will be confirmed
through communication with the office.

Courses are not open ended and must be paid in full before a course completion notice is generated and made official. Students who do not complete a course are financially responsible for all course fees. Courses must be paid in full once a student is enrolled. Courses start when the first payment is made. The courses may not be dropped. There are no refunds.

Signature:

Date:

PAYMENTS

Payment Plans are available. Please contact the office.

Additional Fees - Lost books will need to be replaced at the cost of the student.
Make-up sessions incur an additional fee due to missed classes without communication with the office

I hereby authorize Valencia Tutors Learning Center to charge my credit card for payment and/or
default in payment.

Signature:

Date:

RELEASE OF COURSE COMPLETION NOTICES

Course Completion Notices must be signed for by the parent or student.

All services must be paid in full BEFORE Course Completion Notices are released.

Final payment may be paid in cash or by credit card ONLY.

By enrolling my student in Valencia Tutors’ courses, I am agreeing to the terms mentioned above for course completion, payment, and release of completion notices.

Signature:

Date: