Course Registration Form with Payment Plan

Student Name

First Name Middle Name Last Name

Birth Date

Month Day Year

Gender

Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Student E-mail

example@example.com

Mobile Number

Phone Number

Work Number

Current Work Place / Role

Course

Payment Plan Options

Standard (Paid over the duration of your course) Slow Pay (Paid pre, during and post course to spread out costs)

ENROLMENT TERMS AND CONDITIONS. 1. Where coursework submissions are required, Students must submit 100% of coursework submissions in order to pass the course. 2. Course Fees and Refunds: If paying the full course fee, this fee must be paid in full on enrolment. If choosing to pay by monthly or weekly installments, the deposit must be paid on enrolment, Students will receive a payment plan and must maintain the agreed payment amount on time. Students who do not maintain regular course fee payments, will not be able to continue to attend classes or have course work assessed. Payment plan payments begin on the first week of training, or as otherwise agreed in writing. Course fees and part thereof are non-refundable. Students who have paid course fees in full or in part, who are un-enrolled due to failure to submit coursework , or who have a change in circumstance, or mind, and wish to discontinue their course, will forfeit their course fee. Students using half-yearly, monthly or weekly payment plans, who are un-enrolled due to failure to attend, or who have a change in circumstance, or mind, and wish to discontinue their course, may still be required to honour their payment plan and payout their course fee or part thereof. This is because expenses will have been incurred in view of the students expected participation. Budgets will have been set in anticipation of the students commitment to the payment plan and because the student has committed to filling a place in the class that cannot be allocated to another student after the commencement of the course, thereby denying the college the ability to recoup the funds through any other means. We will always do our best to assist students to complete the course and may offer alternatives in some extreme circumstances, to assist students in financial difficulty, however this cannot be guaranteed in all situations. Please talk to us if you need further information or assistance. Course fees are to be paid via online bank depositor credit card online or via PayPal and required on enrolment. Places cannot be held for enrolments submitted without an accompanying payment. 3. Deferrals: Students who cannot participate in the course due to illness or other extenuating circumstances, may be able to defer to a later course date, at the Directors discretion. 4. In the unlikely event we are unable to deliver the course due to circumstances beyond our control, the course may be put on hold and deferred to a later date which will be as soon as possible. . Class cancellations: In the very unlikely event that a class needs to be deferred due to circumstances beyond our control, students will be notified via text message, email and through the colleges Facebook page. 6. In the event of any circumstances beyond our control which require classes to be cancelled, fees will not be refunded and every effort will be made to deliver the training course via an alternative method. In the event that an alternative method is not made available, or is unsuitable to the student, a refund will be issued. 7. Any student who uses behaviour that is offensive, upsetting, aggressive or disruptive to the class (online or in-person) may be expelled after two warnings have been issued in writing, outlining the nature of the unsuitable behaviour. If a student is expelled, no refund of any course fees already paid will be available and no graduation certificates will be issued. 8. While all care and due diligence are taken, please be advised that in the unlikely event that any harm or injury is caused by the practical application of any information or instruction supplied by Down South Consulting, Willow Training College, Mind Body Education and their employees and representatives can accept no liability. Information supplied is not intended to replace medical advice. 9. The HICAT course is not suitable for people who are currently experiencing mental health issues as some activities may cause emotional triggers. In agreeing to these terms and conditions you are stating that you are not aware of any mental health issues and that you are not currently receiving treatment for a mental health issue. USING TITLES: In Australia and many other countries, HICAT graduates can use the title HICAT practitioner, Holistic Integrated Creative Arts Therapy Practitioner, Creative Arts Facilitator or Creative Therapist. If you live outside of Australia or New Zealand you may use the title Creative Arts Facilitator or Creative Therapist.

I agree to the above terms and conditions

How did you hear about us?

Facebook Search Engine / Google Past Student Other

If you were specifically referred to the program by an individual, either in discussion or via their social media/ community promotions - please add their name

Additional Comments or Anything you need us to know

Signature

Clear

When you Submit your Application you will be directed to our Payments page for the payment of your Deposit. Please ensure the deposit is 10% of the total course fee

Once your enrolment form is received, we will be in touch to set up your Payment Play Agreement.

Please check your spam or junk mail folders, over the next few days, in case our reply lands there.

Thank you!

Student Registration (Payment Plan)