(This is an interactive form that is submitted on-line. For a printed version please email us at information@rmsaam.com)
STEP 1: SUBMIT THIS COMPLETED ENROLLMENT FORM EITHER WITH OR WITHOUT YOUR PAYMENT INFORMATION.
IF YOU CHOOSE NOT TO SEND PAYMENT INFORMATION PLEASE GO TO STEP 2 BELOW.
STEP 2: USE THE SHOPPING CART ON THE CLASS INFORMATION & ENROLLMENT PAGE TO PAY THE REGISTRATION FEE
On-line Enrollment Agreement
P.O. Box 1491
Carbondale, CO 81623
Approved and Regulated by the Colorado Department of Higher Education,
Private Occupational School Board
DATE:
Please check one of the following Options:
Equine Massage Certification, Levels 1, 2, and 3 $1,260.00 total per program, $2,395.00 for two, $3,402.00 tuition for all three levels* (approx. $45.00 in books for the Level 2 Program)
Canine Massage Certification, Levels 1, 2, and 3 $1,039.00 total per program, $1,975.00 for 2 Levels, $2,805.30 for all 3 Levels* (approx. $45.00 in books for the Level 2 Program)
Large and Small Animal Acupressure Level 1 Certification $1,519.00 plus approx. $235.00 in books and materials. (Or $2,886.00 tuition for both levels.*)
Large and Small Animal Acupressure Level 2 Certification $1,519.00 plus approx. $180.00 in books and materials. (Or $2,886.00 tuition for both levels.*)
Small Animal Acupressure Level 1 Certification $1,200.00 plus approx. $195.00 in books and materials. (or $2,280.00 for both levels in tuition*.)
Small Animal Acupressure Level 2 Certification $1,200.00 plus approx. $165.00 in books and materials. (or $2,280.00 for both levels in tuition*.)
Large and Small Animal Acupressure Theory Correspondence Certification $929.00 plus approx. $160.00 in books and materials.
Canine Massage Correspondence Certification $929.00 in tuition ($45.00 in books you buy on your own)
Class-by-Class Basis (Includes all Electives and Correspondence Classes not mentioned above.)
Our programs and classes are open enrollment. You will be shipped a welcome packet upon receipt of enrollment agreement and registration fee.
Our programs are open enrollment. You may enroll at anytime. You will be shipped a new student packet upon receipt of enrollment forms and registration fee.
Full Name
Street Address, City, State, Zip
Phone: Day Evening
Email
Equine and Canine Experience (if any)
Massage Lic #
How did you hear about us? Natural Awakenings IAAMB CRCG Googled us MSN/Yahoo Search American/CO Dog Magazine LinkedIn Twitter Pet Services Guide Carbondale Chamber Maverick Press PSI FrogWorks Anna Twinney Horsemen’s Directory Stock show Horse Expo EHorseHotline.com Other
Tuition and Fees
1. Equine Massage Certification (Level 1, 2 or 3), 12-13 lessons, at-distance preparation work prior to class, written exam, live practicum and independent case studies (3 for levels 1 & 2 and 4 for level 3). 5 days on-site per program.. Tuition: $1,260.00 per or $2,395.00 tuition for two or $3,402.00 for all three levels*. (Plus approx $45.00 in books for the Sports Program)
2. Canine Massage Certification (Level 1, 2 or 3),10-13 lessons, at-distance preparation work prior to class, written exam, live practicum and independent case studies (3 for levels 1 & 2 and 4 for level 3). 4 days on site per program. Tuition: $1,039.00 per, $1,975.00 for 2 levels*, $2805.30 for all 3 levels*. (Plus approx $45.00 in books for Level 2)
3. Large and Small Animal Acupressure Certification (Level 1 and 2),Independent case studies (3 for level 1 and 4 for level 2), at-distance preparation work prior to class and written exam with live practicum for all levels. 7 days on-site per level. Two electives are required per level. These may be taken at RMSAAM or another school. Examples; Essential Oils, Aromatherapy, Reiki, Animal Communication, Bach Flower Therapy, etc. Tuition: $1,519.00 per level or $2,886.00 for 2 levels*. (Plus approx $235.00 in books for Level 1 and $180.00 in books for level 2)
5. Small Animal Acupressure Certification (Level 1 and 2), Independent case studies (3 for level 1 and 4 for level 2), at-distance preparation work prior to class and written exam with live practicum for all levels. 5 days on-site per level. Two electives are required per level. These may be taken at RMSAAM or another school. Examples; Essential Oils, Aromatherapy, Reiki, Animal Communication, Bach Flower Therapy, etc. Tuition: $1,200.00 per level or $2,280.00 for 2 levels*. (Plus approx $195.00 in books for Level 1 and $165.00 in books for level 2)
6. Large and/or Small Animal Acupressure Theory Correspondence Certificate, 7 Lessons, 3 Case Studies, 2 Video Submissions (one is optional) and Written Final Exam (NCBTMB CE candidates may need to complete an on-site practical at an additional fee. Call us for updated NCBTMB regulations.) Tuition: $929.00 plus approx $160.00 in books and materials.
7. Canine Massage Correspondence Certificate, 6 Lessons, 3 Case Studies, 2 Video Submissions (one is optional) and Written Final Exam (NCBTMB CE candidates may need to complete an on-site practical at an additional fee. Call us for updated NCBTMB regulations.) Tuition: $929.00 plus approx $45.00 in books
8. Class-by-Class Basis Tuition: Determined by class you are registering for. Please see Course Catalog. Books and Supplies: Determined by class you are registering for. Please see Course Catalog. Total Cost: Determined by class you are registering for. Please see Course Catalog. Books, supplies and their associated cost are subject to change should books be out of print or hard to find.
*DISCOUNTS APPLY ONLY WHEN REGISTERING FOR MULTIPLE LEVELS AT ONCE.
Acceptable Payment Methods Cash, Check, Money Order, Visa, Mastercard, Discover, American Express – PLEASE CIRCLE CREDIT CARD TYPE A 3% credit card processing fee will be charged to your card when balance is paid by credit card. This does not apply to the $500 registration fee if paid by credit card. To avoid the cc processing fee please pay your balance by cash, check or money order 10 days before class begins. There will be a $35.00 returned check fee on all returned checks. Thank you for your understanding.
PAYMENT INFORMATION
Date:
Amount of Deposit:
Form of Payment(select one): Cash Money Order Check Visa MC AMEX Discover
If paying by Credit Card
Credit Card Number:
Expiration Date:
3 Digit code (AMEX has 4) on back of credit card (Front on AMEX):
*Please make sure the name and address you provide is the billing address on your credit card.
Chart below to be filled in by school.
Date
Amount:
Form of Payment / check or CC #:
Expiration date & 3 digit CCV code on CC
By signing below, the student agrees to pay Rocky Mountain School of Animal Acupressure Massage, hereafter referred to as the school) the total stated tuition and fees. The school agrees to provide the occupational training in accordance with the provisions of Catalog Volume No. 5.1 dated 2006 (“the catalog”). Payment of all monies due (no later than 10 days before class begins) shall be a condition of continuing enrollment. Upon satisfactory completion of all academic and skill requirements and when all financial obligations to the school have been met the school will award the Animal Acupressure Massage Certification Certificate to the student. The student and school understand that this Enrollment Agreement, which includes the refund policy, may not be amended except in writing and signed by both parties. On site programs require pre and post course work. You have 18 months from registration to finish all course work. You may extend your completion date an additional 6 months if necessary by contacting the school in writing prior to your expiration date and paying a re-enrollment fee of $150.00. Correspondence training begins at your own pace; you have 18 months from the date of enrollment to complete the program. You may extend your completion date an additional 6 months if necessary by contacting the school in writing prior to your expiration date and paying a re-enrollment fee of $150.00 Postponement of starting date, whether at the request of the school (by a class cancellation) or by the student, requires a written agreement between the student and the school at least 3 weeks prior to the start date. The agreement must set forth: a. whether the postponement is for the convenience of the school or the student and; b. a deadline for the new start date, beyond which the start date will not be postponed. If the course is not commenced or the student fails to attend by the new start date set forth in the agreement and would like a refund, the student will be entitled to an appropriate refund of pre-paid tuition and fees within 30 days of the deadline of the new start date set forth in the agreement, determined in accordance with the schools refund policy below and all applicable laws and rules concerning the Private Occupational Education Act of 1981 Students who do not send a written agreement to the School of postponement at least 3 weeks before class begins and are not in class on the first day will be considered a no show and are subject to a maximum cancellation charge of $150.00 or 25% of the contract price, whichever is less, as noted in Tuition Refund Policy paragraph on page 13 of this Catalog. Notifying the teacher of postponement via phone or email is not acceptable; only notification made to the school at the proper address listed on the title page of this Catalog shall be accepted.
Tuition Refund Policy Students not accepted to the school are entitled to all moneys paid. Students who cancel this contract by notifying the school within (3) business days are entitled to a full refund of all tuition and fees paid minus any credit card and shipping fees if applicable upon return of all unused materials still in NEW condition. Students who withdraw after 3 business days, but before commencement of program, are entitled to a full refund of all tuition and fees paid except a maximum cancellation charge of $150.00 or 25% of the contract price, whichever is less, plus credit card and shipping fees if applicable. Student MUST return all program materials in perfect condition upon refund request or refund will not be granted.
In the case of students withdrawing after commencement of classes, the school will retain a cancellation charge plus a percentage of tuition and fees, which is based on the percentage of contact hours, as described in the table below. The refund is based on the date of enrollment. Three quarters of the correspondence program is expected to be completed within 12 months. Student MUST return all unused program materials in perfect condition upon refund request.
REFUND TABLE
Refund
After Commencement of course and within first 10% of program. (1 class or less completed or 1 month has passed) (1 correspondence class completed or 10% of on-site time. For example; 10 % of 3.5 days on site = 3 hours)
90% less cancellation charge
After 10% and within first 25% of program (Approx. 2 classes completed) OR 2 months have passed since enrollment date. If on-site program then 25% of on-site time. For example; 25 % of 3.5 days on site = 1 day.
75% less cancellation charge
After 25% and within 50% of program (Approx. 3 classes completed.) OR 4 months have passed since enrollment date. If on-site program then 50% of on-site time. For example; 50 % of 3.5 days on site with last day being exams = 1 1/2 days.
50% less cancellation charge
After 50% and within 75% of program (Approx. 4 classes completed.) OR 6 months have passed since enrollment date. . If on-site program then 75% of on-site time. For example; 50 % of 3.5 days on site with last day being exams = 2 days.
25% less cancellation charge
After 75% (If paid in full, cancellation charge is not applicable) Or after 8 months have passed since enrollment date. (Approx. 5 classes+) Three quarters of the program correspondence programs is expected to be complete within 12 months.
No Refund
Dog Policy
Your well-behaved, trained, non-aggressive, spayed or neutered dog is welcome upon previous written approval from the instructor. As no one can predict how a dog will react to new surroundings please be prepared to crate your dog should he or she prove to be disruptive or not in the mood for massage that day. Please contact Jenny Rukavina at information@rmsaam.com for written approval at least 3 WEEKS PRIOR to the start of a course. If you do not have prior written approval, do not bring a dog.
REGISTRATION FOR ALL CLASSES IS REQUIRED AT LEAST THREE WEEKS PRIOR TO CLASS. THIS IS NECESSARY FOR PRE-COURSE WORK AND TO CANCEL SHOULD THE CLASS NOT MEET THE THREE STUDENT MINIMUM REQUIREMENT. MOST CLASSES ADHERE TO A 3 STUDENT MINIMUM AND 10 STUDENT MAXIMUM.
I certify that I am in generally good health and am capable of participating in the Rocky Mountain School of Animal Acupressure Massage Training Course, and that the information I have given is true and factual. RELEASE OF LIABILITY: I hereby release and hold harmless the Rocky Mountain School of Animal Acupressure Massage (RMSAAM), Dogma Inc., Lisa B. Speaker, and any and all of it’s instructors, partners, guest speakers, demonstrators from any liability due to accident or damage to self, horse, dog, cat or other animal; and/or loss of or damage to personal property during any Rocky Mountain School of Animal Acupressure and Massage Course, Treatment, Lesson or other form of demonstration or learning. My signature below and submission of this form denotes my acceptance of the terms and conditions described above.
Date School’s Licensed Agent Date Student Signature (please type in the box)
I HAVE RECEIVED A COPY OF THIS ENROLLMENT AGREEMENT AND A CURRENT SCHOOL COURSE CATALOG.
BEFORE YOU SUBMIT THIS FORM PLEASE PRINT AND MAIL THIS DUALLY SIGNED AGREEMENT TO: RMSAAM, PO Box 1491 Carbondale, CO 81623 (If this form is not signed in both spaces it will be returned to you for completion.)
