Educational Test Prep Service Phone: 513-426-8061 Fax: 513-386-0336 Email: [email protected] Web: www.edtestprep.com

ACT Test Prep Agreement

Student Name: ______DOB: ______Grade: _____ School Name: ______

Address: ______City: ______State: ___ Zip: ______

Parent / Legal Guardian Name: ______Phone: ______

Email Address: ______

How did you hear our company? ______

Course: 11 Hour Classroom ACT Prep Class Tuition: $325.00 + $10.00 Registration Fee = $335.00

Dates of Course: ______Time: 8:00am – 11:45am

Please read and initial each statement :

Educational Test Prep Service and instructors guarantees no specific outcome to the student. ______

Attendance to all sessions is mandatory. There are no refunds or adjustments for missed sessions. ______

Students must attend the class dates they are enrolled in – no changes will be allowed. ______

Students that are more than 10 minutes late to a class are considered a no show and not permitted into class. _____

A fee of $50.00 will be charged for any check that is returned NSF and student will not be admitted to class. ______

Winter cancellation only occurs if Hamilton County is under a level 3 snow emergency. No refund will be provided for any student that misses a class that is not canceled by Educational Test Prep Service, and no make up day will be provided. ______

Liability: Client agrees to hold Educational Test Prep Service harmless and will not hold the company, owner, or officers of the company legally liable for any acts or omissions of the tutor or instructor that is assigned to the student or classroom. All tutors and instructors are independent contractors and not employees of the company.

Refund / Adjustment Policy: We have a strict no refund or adjustment policy! There will be no refund or tuition adjustment given for voluntary discontinuance of the program by the student or client. For any student that is dismissed from the course due to misconduct or who has been deemed a detriment to the program or other students there will be no refund or adjustment given.

The company and instructor shall provide academic assistance using due diligence, best efforts, and reasonable judgment, however unless specifically delineated in writing, guarantees no specific outcome to the student or client.

By signing this agreement I state that I have read, understand, and agree with the policies of Educational Test Prep Service. I also have read and initialed the above statements.

______

Client Signature – Parent or Legal Guardian Date

Remit payment and agreement to: Educational Test Prep Service 2207 Drex Avenue Cincinnati, Ohio 45212 ______Office Use Only Date Agreement Recd: ______By: ______Student Enrolled In Classes: ______Type of Payment Recd: Check ______Cash______Date Recd: ______Form 12/31/15