American Red Cross Madison/Marshall Co. Chapter • 1101 Washington Street • Huntsville, AL 35801

CERTIFIED NURSE ASSISTANT REFUND AGREEMENT - 11 WEEK COURSE

Course Date:___________________ Course Day & Time: M/W AM T/TH PM (Circle)

Receipt # Amount Paid $ Method:

CK, CA, CC

Name: PHONE:

Address:

Apt. No.

City ST Zip Code

CANCELLATION AND REFUND POLICY

A minimum of $300 is required for registration. The remaining $300 tuition balance MUST be paid in full during the first 6 weeks of class. Any refund of prepaid tuition fees will be made in the following manner. (Please allow up to two weeks for refunds to be processed).

(1) If cancellation occurs after enrollment, but before classes begin with at least one week’s notice and the textbook is returned in new condition, a refund shall be made of all money paid except one-hundred dollars ($100) for an administration fee. Transfers to the next class must be approved and granted prior to class start.

(3) If cancellation occurs after classes begin, no refunds will be issued.

I have read the above policy on refunds and agree to the stated terms and conditions.

Signed:_______________________________________ Date:____________________

Witness:______________________________________ Date:____________________