nadentalassisting.com - Co-Signer Agreement

Co-Signer Agreement
This agreement is attached to and a part of the Registration/Enrollment form dated Date between the North Alabama Dental Assisting Program (NADAP) and (student) . Student is enrolling in the program beginning on Date (date of program commencement).
Co-Signer Name
Relationship to Student Applicant
Student payment schedule:
$________/Saturday class
Co-Signer agrees to unconditionally, absolutely and continually guarantee the performance by Student of all obligations under the School Catalog, including but not limited to timely payment of the tuition due.

Co-Signer agrees that any suit or action brought on this Agreement may be brought in any state or federal court sitting in the county in which the school is held. Co-Signer agrees to pay all costs and attorney’s fees incurred by NADAP in enforcing the Enrollment agreement.
Co-Signer Signature

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Date

MonthDayYear
Date
Printed Name
Date

MonthDayYear
Date
Co-Signer Information

(please write all information):
Full Name:

First NameLast Name
Home Phone:
Please enter a valid phone number.
Cell Phone:
Please enter a valid phone number.
Driver’s License #:
SSN:
DOB:

MonthDayYear
Date
Home Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
I certify that the above information is correct and complete and I authorize NADAP to make inquiries necessary to process and verify the above information. I have given NADAP permission to obtain the following: Credit Report

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Should be Empty:

Co-Signer Agreement