Acme Institute Class Registration

Attendees

First Name: *

Last Name: *

Email Address:

HOME ADDRESS, PLEASE! *

City, State and Zip Code *

Permanent ID Number, if not yet licensed enter 000 *

Last 4 digits of SS#

Telephone Number * (a number you may be reached in case of cancelation)

NOTE:

Please include the information as it appears on your Permanent I.D. Card

If you have any dietary, health or mobility problems, let us know. The Acme Institute is committed to Americans with Disabilities Act (ADA) It has come to our attention that a number of our students and instructors (Gwyn for one) suffer from asthma and/or allergies. Please refrain from wearing fragrances and/or smoking near the classroom or classroom access. Thank you.

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Date Requested

Date Of The Class Desired: * enter as mm/dd/2009

Location *

Method of Payment *

If you have any questions feel free to call

or email info@TheAcmeInstitute.com

All tuition and fees paid by the applicant shall be refunded if the applicant is rejected by the school before enrollment. An applicant fee of not more than $25.00 may be retained by the school if the applicant is denied. All tuition and fees paid by the applicant shall be refunded if requested within three business days after signing a contract with the school. All refunds shall be returned within 30 days. Once the three business days has elapsed, the following policies will apply: 100% refund will be given to a student who elects to withdraw prior to the day of class start. Students who elect to withdrawal the day of class start or later will be charged a $15.00 processing fee. Tuition can be transferred to a future class date only once without penalty additional transfers will be subject to the processing fee. No Refunds will be issued for any reason after 6 months has lapsed.

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