TLC Medical Training Enrollment Form CNA Prep. Medication Aide 2024

TLC Medical Training Inc.
611 N.W. 31 Avenue

Pompano Beach, FL 33069

954-917-8099

Fax 954-917-8066

Student Enrollment Form
Date of Birth*

MonthDayYear
Date
Date*

MonthDayYear
Date
Course*
Name*
Address*
City, State*
Zip*
Cell#*
Alternative#
Email Address*
example@example.com
Education: Highest grade completed:
Highest grade completed
Year
Diploma or GED
Program Enrollment Option: Day Program, Night Program, Weekend*
TLC TRAINING CENTER REFUND POLICY:

The student must cancel within three days of registration in order to receive a full refund minus $100.00 processing fee. Student must cancel in writing or by fax within the three day cancellation period for the refund to be valid. If the student does not cancel within the three day period he/she forfeits all monies. There will be no exceptions. Refund will be issued within 45 days after cancellation. If you register 2 days or less prior to a class, the refund policy will not apply. In the event that a student dismissed from class (for any reason) NO REFUND
Do you understand the refund policy?*
Information on this application is true and factual?*
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TLC Medical Training Inc.