Birthday*

Program:*

Payment Plan:*

I understand I will need to pay a non refundable $25 setup fee on the next page. *

I understand if any payments fail, there will be a 10 day grace period where the system will automatically try to charge the card on file. If the payment is unresolved after 10 days, a $25 late fee will be applied.*

I understand after the initial payment, I will automatically be charged equal installments every 14 or 30 days, depending on my chosen payment plan. *

I understand that the first payment is due at the end of the first week of class at the latest.*