lockers

Form for Online Course Only (DE101)
*Is a required field

Step 1

*Student First and Last Name
* DOB: mm/dd/yyyy
*Address, City, Zip
, , CA
* Phone + Area Code
 
* Cell/Other + Area Code
 
* High School Student Attends:
* Student
* Parent e-mail:
* Parent or Guardian Name
* Parent / Guardian Phone
* Course
* Method Of Payment:
Please acknowledge that you have read and the following terms and conditions by entering your initials in the box below.
1 You are enrolling in an online course and is not transferable into any other course.
2 You will be required to communicate via email.
3 When you do communicate you must include your name, course, and state your question.
4 You are required to read the instructions sent that contain the information you will need to be successful in the course.
5 You have a 45 day enrollment period to complete the course.
6 A $25 will be charged for a 15 day extensions of time.
7 If you do not apply for an extension of time, your account will be disabled and remain for 30 days. After 30 days your account will be deleted.
8 You understand that should you choose not complete the course, a certificate will not be issued.
9 Refunds are not available once you login to the course.
You have read 1-9 above and agree by entering your initials here:

*
Student Signature
Submit this form once.
 
Copyright © 1994 2008 www.i-virtualhigh.com