Common use of STUDENT ACKNOWLEDGMENTS Clause in Contracts

STUDENT ACKNOWLEDGMENTS. Student Initial I understand that I must show up to class lucid, and mentally and physically rested and prepared. I understand that if the instructor feels I am not prepared I can be questioned, and if necessary dismissed from that session with the instruction to be prepared for the next session. Students, who are under the influence of alcohol, illicit drugs, prescription drugs or any other mind or body-altering substances cannot participate in class. Student Initial I understand that disruptive behavior, vulgar language or inappropriate attire will not be tolerated during class. If after a warning from an instructor or other PTS staff member the offense continues I may be asked to leave class with out the possible option to return. In this case no refunds will be given. *Scrubs are the preferred attire but are not required. Student Initial I understand the risks associated with drawing blood, contracting diseases and am aware that phlebotomy procedures in class will be performed on fellow students, volunteers and staff at Phlebotomy Training Specialists. I also understand that any injury sustained to me or the person I am performing phlebotomy on is solely my responsibility and will hold Phlebotomy Training Specialists harmless. Student Initial I understand that Phlebotomy Training Specialists does not offer job placement. However, resume assistance is available as well as an in class discussion on how to obtain and where to look for employment. Student Initial _ I understand that while PTS will make every effort to hold classes as scheduled, there may be a disruption in projected scheduling due to unforeseen circumstances. I acknowledge that PTS will not make any financial compensations for rescheduling, however, they will also not charge any additional fees for rescheduling. PTS will offer multiple options to complete my course in a timely manner. Should I choose to withdraw from training, the published refund policy will apply. Student Initial I understand that attendance is mandatory to successfully pass this course. Make up class time will be available by contacting Student Services only. I understand that I will not be able to schedule or attend make up classes once my registered class has concluded until my tuition is paid in full as explained General Information of this Registration/Enrollment Agreement. Student Initial I understand that I must log into my student account at xxxxxxxx.xxxxxxxxxxxxx.xxx and check the spelling/format of my name and that how my name appears here is EXACTLY how it will appear on my certificate. I also understand that there is a $20 Fee for Certificate Prints as explained under State Certification Information of this Registration/Enrollment Agreement. Student Initial I understand that I cannot miss the first or second scheduled day of class. I understand that if I miss the first or second scheduled day of class, I will be removed from the class and I will be required to select another available class schedule. Student Initial I understand that if I cannot complete the course I originally registered for, before I can be reassigned to another class I must have all tuition paid in full. I also understand that if I need to be reassigned to a class for any reason I must contact Student Services to do so. Student Initial I understand the PTS Refund Policy and am aware that all requests to withdraw from the program must be done in writing as explained in this Registration/Enrollment Agreement. Student Initial I acknowledge that I am responsible for the cost of the full tuition and fees associated with the program. I understand that failure to make consistent payments to the school will result in my account being sent to collections. I also understand that if I withdraw from the program prior to completion, I am financially responsible for the prorated tuition and fees for the classes which I did attend. Student Initial I understand that I will not be able to graduate or obtain my certification until I have completed the course and paid ALL tuition in full as explained in this Registration/ Enrollment Agreement. Student Initial I understand that in order to sit for the National Exam, I must have ALL tuition paid in full. I also understand that if I have not paid my National Exam fee prior to the test date I may not be guaranteed a seat or exam on test day as explained under the Exam Information section of this Registration/Enrollment Agreement. I have read and understand this Registration/Enrollment Agreement and agree with the terms set forth therein. By signing below, the student agrees to pay Phlebotomy Training Specialists (“school”) the total stated tuition & fees. The school agrees to provide the occupational training in accordance with the provisions of the school’s current Catalog Volume No. 11 January 2021 (“Catalog”). Payment of all monies due shall be a condition of continuing enrollment. Upon satisfactory completion of all academic and skill requirements and when all financial obligations to the school have been met the school will award the Phlebotomy Technician Certificate to the student. When signed by both parties this document is a legally binding instrument. The student and school understand that this Enrollment Agreement, WHICH INCLUDES THE REFUND POLICY may not be amended except in writing and signed by both parties. A copy of a current school catalog and fully executed copy of this enrollment agreement will be sent via email. Student Signature Date

STUDENT ACKNOWLEDGMENTS. Student Initial I understand that I must show up to class lucidhave received and read a copy of The Art Institute of Wisconsin (“The Art Institute”) current catalog, and mentally and physically rested and prepared. I understand that if the instructor feels I am not prepared I can be questioned, and if necessary dismissed from that session with the instruction to be prepared for the next session. Students, who are under the influence of alcohol, illicit drugs, prescription drugs or any other mind or body-altering substances cannot participate either in class. Student Initial I understand that disruptive behavior, vulgar language or inappropriate attire will not be tolerated during class. If after a warning from an instructor or other PTS staff member the offense continues I may be asked to leave class with out the possible option to return. In this case no refunds will be given. *Scrubs are the preferred attire but are not required. Student Initial I understand the risks associated with drawing blood, contracting diseases and am aware that phlebotomy procedures in class will be performed on fellow students, volunteers and staff at Phlebotomy Training Specialists. I also understand that any injury sustained to me printed form or the person I am performing phlebotomy on is solely my responsibility and will hold Phlebotomy Training Specialists harmless. Student Initial I understand that Phlebotomy Training Specialists does not offer job placement. However, resume assistance is available as well as an in class discussion on how to obtain and where to look for employment. Student Initial _ I understand that while PTS will make every effort to hold classes as scheduled, there may be a disruption in projected scheduling due to unforeseen circumstances. I acknowledge that PTS will not make any financial compensations for rescheduling, however, they will also not charge any additional fees for rescheduling. PTS will offer multiple options to complete my course in a timely manner. Should I choose to withdraw from trainingonline version (xxxx://xxx.xxxxxxxxxxxxx.xxx/flyover/catalogs/138), the published refund policy will apply. Student Initial I understand that attendance is mandatory to successfully pass this course. Make up class time will be available by contacting Student Services only. I understand that I will not be able to schedule or attend make up classes once my registered class has concluded until my tuition is paid in full as explained General Information provisions of this Registration/Enrollment Agreement. Student Initial I understand that I must log into my student account at xxxxxxxx.xxxxxxxxxxxxx.xxx and check the spelling/format of my name and that how my name appears here is EXACTLY how it will appear on my certificate. I also understand that there is a $20 Fee for Certificate Prints as explained under State Certification Information of this Registration/Enrollment Agreement. Student Initial I understand that I cannot miss the first or second scheduled day of class. I understand that if I miss the first or second scheduled day of class, I will be removed from the class and I will be required to select another available class schedule. Student Initial I understand that if I cannot complete the course I originally registered for, before I can be reassigned to another class I must have all tuition paid in full. I also understand that if I need to be reassigned to a class for any reason I must contact Student Services to do so. Student Initial I understand the PTS Refund Policy and am aware that all requests to withdraw from the program must be done in writing as explained in this Registration/Enrollment Agreement. Student Initial I acknowledge that I am responsible for the cost of the full tuition and fees associated with the program. I understand that failure to make consistent payments to the school will result in my account being sent to collections. I also understand that if I withdraw from the program prior to completion, I am financially responsible for the prorated tuition and fees for the classes which I did attend. Student Initial I understand that I will not be able to graduate or obtain my certification until I have completed the course and paid ALL tuition in full as explained in this Registration/ Enrollment Agreement. Student Initial I understand that in order to sit for the National Exam, I must have ALL tuition paid in full. I also understand that if I have not paid my National Exam fee prior to the test date I may not be guaranteed a seat or exam on test day as explained under the Exam Information section of this Registration/Enrollment Agreementaccept. I have read and understand all provisions of this Registration/agreement, and I have been given a copy of it for my records. (Parents must also sign if you are under 18 years of age.) I understand that my enrollment and The Art Institute’s obligations under this Enrollment Agreement (except the cancellation and agree refund provisions) may be terminated by The Art Institute if I fail to comply with The Art Institute’s attendance, conduct, academic, and/or financial requirements. I understand that The Art Institute also reserves the terms set forth therein. By signing belowright to deny my enrollment if The Art Institute determines (i) that I have demonstrated poor academic potential as determined through evaluation of transcript records or any other academic evaluations deemed appropriate for the program selected, the student agrees and/or (ii) that I do not meet all financial obligations related to pay Phlebotomy Training Specialists (“school”) the total stated tuition & fees. The school agrees to provide the occupational training in accordance with the provisions of the school’s current Catalog Volume No. 11 January 2021 (“Catalog”). Payment of all monies due shall be a condition of enrollment and continuing enrollment. Upon satisfactory completion I understand that my financial obligations PROGRAM PRICING STATEMENT The student is responsible for tuition and fees pertaining to the program’s required course of all academic study. The tuition and skill fees contained in this Enrollment Agreement are subject to change. The per credit hour rate is subject to an increase at least once per calendar year which will increase the total amount for the program. The adjustment to the per credit hour rate may occur before the student begins classes and the student’s program will be calculated using the new rate. Any changes to tuition and fees will be published to students. Re-entering students will be subject to the current per credit hour tuition charge at the time of re-enrollment. Each school quarter is approximately 11 weeks. An application fee of $50 is to be submitted with the Application for Admission. The enrollment fee of $100 is due within 10 days after the Enrollment Agreement is signed. Special U.S. and overseas trips are voluntary and are not included in regular tuition and fees. If a student elects to enter into a financial plan, the financial plan will be in compliance with the Federal Truth in Lending installment requirements and when all financial obligations to the school have been met the school will award the Phlebotomy Technician Certificate to the student. When signed by both parties this document is become a legally binding instrument. The student and school understand that part of this Enrollment Agreement. The Starting Kits are mandatory for all Culinary programs and optional for all other programs. They consist of some of the basic equipment, WHICH INCLUDES THE REFUND POLICY may not be amended except in writing first-quarter textbooks, and signed by both partiesmaterials needed for beginning each program. A copy list of a current school catalog the components of the Starting Kit is provided to each enrolled student. These materials may be purchased at The Art Institute or at most supply stores. In addition to the Starting Kit, the average costs of consumable supplies, textbooks, and fully executed copy of this enrollment agreement will be sent via email. Student Signature Dateequipment by program are as follows:

STUDENT ACKNOWLEDGMENTS. I hereby acknowledge receipt of the school’s catalog, which contains information describing programs offered, and equipment or supplies provided. The school catalog is included as part of this enrollment agreement and I acknowledge that I have received a copy of this catalog. Student Initial Initials ______ I have carefully read and received an exact copy of this enrollment agreement. Student Initials ______ I understand that the school may terminate my enrollment if I fail to comply with attendance, academic, and financial requirements or if I fail to abide by established standards of conduct, as outlined in the school catalog. While enrolled in the school, I understand that I must show up maintain satisfactory academic progress as described in the school catalog and that my financial obligation to class lucid, and mentally and physically rested and preparedthe school must be paid in full before a certificate or credential may be awarded. Student Initials ______ I understand hereby acknowledge that if the instructor feels I am not prepared I can be questioned, and if necessary dismissed from that session with the instruction school has made available to be prepared for the next session. Students, who are me all required disclosure information listed under the influence Consumer Information section of alcohol, illicit drugs, prescription drugs or any other mind or body-altering substances cannot participate in classthis Enrollment Agreement. Student Initial I understand that disruptive behavior, vulgar language or inappropriate attire will not be tolerated during class. If after a warning from an instructor or other PTS staff member the offense continues I may be asked to leave class with out the possible option to return. In this case no refunds will be given. *Scrubs are the preferred attire but are not required. Student Initial I understand the risks associated with drawing blood, contracting diseases and am aware that phlebotomy procedures in class will be performed on fellow students, volunteers and staff at Phlebotomy Training Specialists. I also understand that any injury sustained to me or the person I am performing phlebotomy on is solely my responsibility and will hold Phlebotomy Training Specialists harmless. Student Initial I understand that Phlebotomy Training Specialists does not offer job placement. However, resume assistance is available as well as an in class discussion on how to obtain and where to look for employment. Student Initial Initials ______ I understand that while PTS will make every effort the school does not guarantee transferability of credit and that in most cases, credits or coursework are not likely to hold classes as scheduledtransfer to another institution. In cases where transferability is guaranteed, there may be a disruption in projected scheduling due to unforeseen circumstances. I acknowledge Carepaks must provide me copies of transfer agreements that PTS will not make any financial compensations for rescheduling, however, they will also not charge any additional fees for rescheduling. PTS will offer multiple options to complete my course in a timely manner. Should I choose to withdraw from training, name the published refund policy will applyexact institution(s) and include agreement details and limitations. Student Initial Initials ______ I understand that attendance is mandatory the school does not guarantee job placement to successfully pass this coursegraduates upon program completion. Make up class time will be available by contacting Student Services only. Initials ______ I understand that I will complaints, which cannot be able resolved by direct negotiation with the school in accordance to schedule its written grievance policy, may be filed with the Illinois Board of Higher Education, 000 Xxxx Xxxxx Xxxxxx, 2nd Floor, Springfield, IL 62701 or attend make up classes once my registered class has concluded until my tuition is paid in full as explained General Information of this Registration/Enrollment Agreementat xxx.xxxx.xxx. Student Initial I understand that I must log into my student account at xxxxxxxx.xxxxxxxxxxxxx.xxx and check the spelling/format of my name and that how my name appears here is EXACTLY how it will appear on my certificate. I also understand that there is a $20 Fee for Certificate Prints as explained under State Certification Information of this Registration/Enrollment Agreement. Student Initial I understand that I cannot miss the first or second scheduled day of class. I understand that if I miss the first or second scheduled day of class, I will be removed from the class and I will be required to select another available class schedule. Student Initial I understand that if I cannot complete the course I originally registered for, before I can be reassigned to another class I must have all tuition paid in full. I also understand that if I need to be reassigned to a class for any reason I must contact Student Services to do so. Student Initial I understand the PTS Refund Policy and am aware that all requests to withdraw from the program must be done in writing as explained in this Registration/Enrollment Agreement. Student Initial I acknowledge that I am responsible for the cost of the full tuition and fees associated with the program. I understand that failure to make consistent payments to the school will result in my account being sent to collections. I also understand that if I withdraw from the program prior to completion, I am financially responsible for the prorated tuition and fees for the classes which I did attend. Student Initial I understand that I will not be able to graduate or obtain my certification until I have completed the course and paid ALL tuition in full as explained in this Registration/ Enrollment Agreement. Student Initial I understand that in order to sit for the National Exam, I must have ALL tuition paid in full. I also understand that if I have not paid my National Exam fee prior to the test date I may not be guaranteed a seat or exam on test day as explained under the Exam Information section of this Registration/Enrollment Agreement. I have read and understand this Registration/Enrollment Agreement and agree with the terms set forth therein. By signing below, the student agrees to pay Phlebotomy Training Specialists (“school”) the total stated tuition & fees. The school agrees to provide the occupational training in accordance with the provisions of the school’s current Catalog Volume No. 11 January 2021 (“Catalog”). Payment of all monies due shall be a condition of continuing enrollment. Upon satisfactory completion of all academic and skill requirements and when all financial obligations to the school have been met the school will award the Phlebotomy Technician Certificate to the student. When signed by both parties this document is a legally binding instrument. The student and school understand that this Enrollment Agreement, WHICH INCLUDES THE REFUND POLICY may not be amended except in writing and signed by both parties. A copy of a current school catalog and fully executed copy of this enrollment agreement will be sent via email. Student Signature DateInitials ______

STUDENT ACKNOWLEDGMENTS. Student Initial I understand that I must show up to class lucid, and mentally and physically rested and prepared. I understand that if the instructor feels I am not prepared I can be questioned, and if necessary dismissed from that session with the instruction to be prepared for the next session. Students, who are under the influence of alcohol, illicit elicit drugs, prescription drugs or any other mind or body-altering substances cannot participate in class. Student Initial I understand that disruptive behavior, vulgar language or inappropriate attire will not be tolerated during class. If after a warning from an instructor or other PTS staff member the offense continues I may be asked to leave class with out the possible option to return. In this case no refunds will be given. *Scrubs are the preferred attire but are not required. Student Initial I understand the risks associated with drawing blood, contracting diseases and am aware that phlebotomy procedures in class will be performed on fellow students, volunteers and staff at Phlebotomy Training Specialists. I also understand that any injury sustained to me or the person I am performing phlebotomy on is solely my responsibility and will hold Phlebotomy Training Specialists harmless. Student Initial I understand that Phlebotomy Training Specialists does not offer job placement. However, resume assistance is available as well as an in class discussion on how to obtain and where to look for employment. Student Initial _ I understand that while PTS will make every effort to hold classes as scheduled, there may be a disruption in projected scheduling due to unforeseen circumstances. I acknowledge that PTS will not make any financial compensations for rescheduling, however, they will also not charge any additional fees for rescheduling. PTS will offer multiple options to complete my course in a timely manner. Should I choose to withdraw from training, the published refund policy will apply. Student Initial I understand that attendance is mandatory to successfully pass this course. Make up class time will be available by contacting Student Services student services only. I understand that I will not be able to schedule or attend make up classes once my registered class has concluded until my tuition is paid in full as explained under General Information on page 2 of this Registration/Enrollment Agreement. Student Initial I understand that I must log into my student account at xxxxxxxx.xxxxxxxxxxxxx.xxx and check the spelling/format of my name and that how my name appears here is EXACTLY how it will appear on my certificate. I also understand that there is a $20 15 Fee for Certificate Prints Reprints as explained under State Certification Payment/Certificate/Exam Information on Page 2 of this Registration/Enrollment Agreement. Student Initial I understand that I cannot miss the first or second scheduled day of class. I understand that if I miss the first or second scheduled day of class, I will be removed from the class and I will be required to select another available class schedule. Student Initial I understand that if I cannot complete the course I originally registered for, before I can be reassigned to another class I must have all tuition paid in full. I also understand that if I need to be reassigned to a class for any reason I must contact Student Services student services to do so. Student Initial I understand the PTS Refund Policy and am aware that all requests to withdraw from the program must be done in writing as explained in under General Information on Page 2 of this Registration/Enrollment Agreement. Student Initial I acknowledge that I am responsible for the cost of the full tuition and fees associated with the program. I understand that failure to make consistent payments to the school will result in my account being sent to collections. I also understand that if I withdraw from the program prior to completion, I am financially responsible for the prorated tuition and fees for the classes which I did attend. Student Initial I understand that I will not be able to graduate or obtain my certification until I have completed the course and paid ALL tuition in full as explained in under Payment/Certificate Information on page 2 of this Registration/ Enrollment Agreement. Student Initial I understand that in order to sit for the National Exam, I must have ALL tuition paid in full. I also understand that if I have not paid my National Exam fee at least ONE WEEK prior to the test date I may not be guaranteed a seat or exam on test day as explained under the Payment/Certificate/Exam Information section on Page 2 of this Registration/Enrollment Agreement. I have read and understand this Registration/Enrollment Agreement and agree with the terms set forth therein. By signing below, the student agrees to pay Phlebotomy Training Specialists (“school”) the total stated tuition & fees. The school agrees to provide the occupational training in accordance with the provisions of the school’s current Catalog Volume No. 11 5 January 2021 2018 (“Catalog”). Payment of all monies due shall be a condition of continuing enrollment. Upon satisfactory completion of all academic and skill requirements and when all financial obligations to the school have been met the school will award the Phlebotomy Technician Certificate to the student. When signed by both parties this document is a legally binding instrument. The student and school understand that this Enrollment Agreement, WHICH INCLUDES THE REFUND POLICY may not be amended except in writing and signed by both parties. A copy of a current school catalog and fully executed copy of this enrollment agreement will be sent via email. Student Signature Date Authorized Representative Date In consideration of the opportunity to receive phlebotomy instruction, training, and other services from Phlebotomy Training Specialists (“PTS”), I agree to the following. Although PTS has taken reasonable steps to make the services provided by PTS safe in an effort to avoid injury, I acknowledge and agree that there are inherent risks of physical injury and other damages associated with phlebotomy instruction and training that remain to exist. These inherent risks include, but are not limited to, injury caused by in-class attempts to draw blood from each other by the participants, like myself, receiving instruction and training from PTS. I understand that the above description of risks associated with the phlebotomy instruction and training is not complete, and that other unknown or unanticipated risks may, however very unlikely, result in injury or death. My participation in phlebotomy instruction and training is purely voluntary, based upon my own assessment of all relevant facts and circumstances, in spite of the associated risks. I acknowledge that I am not relying on any oral, written or visual representations made by PTS, including those made in its brochures or other promotional material, in deciding to voluntarily accept the risks associated with my participation in this phlebotomy instruction and training. I hereby agree to accept the risk of any such injury or damage; in addition I agree not to hold PTS, or any of its owners, employees or agents, responsible in any way for any injuries or damages I may incur during, or related in any manner to, the phlebotomy instruction and training I will receive from PTS, even if PTS or its employees or agents act negligently. I also understand that PTS is neither responsible nor liable for my travel to and from classes. I come and go of my own free will and choice and agree not to hold PTS accountable in any way should I become injured in any manner during those travels. In the event I incur any injury arising from, or related in any manner to, my participation in any phlebotomy instruction or training I receive from PTS, I will immediately notify a PTS instructor of the nature and cause of such injury. I hereby agree to defend, indemnify and hold PTS and its owners, employees and agents harmless from any liability, damages or other costs, including, but not limited to, attorney fees and other costs of litigation, related to, or arising from, my participation in any phlebotomy instruction or training I receive from PTS and/or any of my activities related thereto. The prevailing party in any legal action to interpret and/or enforce any of the terms of this Release of Liability shall also be awarded their reasonable attorney fees and other costs and expenses incurred regarding that legal action. This Release of Liability shall be governed by the laws of the State of Utah. Any dispute between me and PTS shall, upon the written demand of either party, be submitted to arbitration before a single arbitrator whose decision shall be binding and conclusive on all parties. Such arbitration shall generally comply with the arbitration rules of the American Arbitration Association (“AAA”), but need not be conducted or otherwise administered by the AAA, and such arbitration shall be conducted by a provider of arbitration services other than the AAA upon the demand of either party. Such arbitration shall be conducted in the State of Utah regardless of where I received phlebotomy instruction or training and regardless of where I may be located at the time of such dispute. I hereby acknowledge that I have carefully read the above Release of Liability and fully understand its contents. I am aware that I am releasing certain legal rights that I may otherwise have by signing this Release of Liability. In return, I will be allowed to participate in the phlebotomy instruction and training sponsored or conducted by PTS. I have had the opportunity to consult with my own attorney, if I so desired, regarding the meaning and effect of this Release of Liability before I signed it. I now sign this Release of Liability of my own free will and choice. Student Signature Date Printed Name Student Tracking Form Location of Training: Class Start Date: _ State law requires us to track you after graduation. During class at PTS you will be participating in the “Employment Presentation” which covers where to work, how to apply, what to wear, and other resources that correlate to gaining employment. No sooner than 60 days after graduation our staff will begin attempting to contact you by mail, email and phone call/text to ask you questions regarding employment. Sharing this information is arbitrary and you are not required to respond to any of our requests for information. In addition to our employment presentation given during class, we offer resume review. Just send the most recent copy of your resume to xxxx@xxxxxxxxxxxxx.xxx and one of our staff members will review and provide feedback within 72 hours. This form will be used to record the data should you choose to participate in reporting it to us. The collecting of the initial information IS required. Student Name _ Phone # Male Female _ Address City State Zip County SSN (Last 4 digits): Email DOB (MM/DD/YYYY) Are you on disability? Yes No Are you a Veteran? Yes NO Ethnicity: Hispanic/Latino Hawaiian/Pacific Islander Asian Caucasian Native/AlaskanAmerican African American Check all that apply below: I am using the certification to strengthen my resume for my existing medical career. I am currently employed in a health care related field and I am not seeking employment. I am currently employed in a non health care related field and I am not seeking employment. Students should be contacted by phone, mail and email or text message 60-180 days after the student graduates to ascertain whether or not they have gained employment in the field.

STUDENT ACKNOWLEDGMENTS. Student Initial Initials . I hereby acknowledge receipt of the school’s catalog, which contains information describing programs offered, and equipment or supplies provided. The school catalog is included as part of this enrollment agreement and I acknowledge that I have received a copy of this catalog. . I have carefully read and received an exact copy of this enrollment agreement. . I understand that the school may terminate my enrollment if I fail to comply with attendance, academic, and financial requirements or if I fail to abide by established standards of conduct, as outlined in the school catalog. While enrolled in the school, I understand that I must show up maintain satisfactory academic progress as described in the school catalog and that my financial obligation to class lucid, and mentally and physically rested and preparedthe school must be paid in full before a certificate or credential may be awarded. . I hereby acknowledge that the school has made available to me all required disclosure information listed under the Consumer Information section of this Enrollment Agreement. . I understand that if the instructor feels I am school does not prepared I can be questionedguarantee transferability of credit and that in most cases, and if necessary dismissed from that session with the instruction credits or coursework are not likely to be prepared for the next session. Students, who are under the influence of alcohol, illicit drugs, prescription drugs or any other mind or body-altering substances cannot participate in class. Student Initial I understand that disruptive behavior, vulgar language or inappropriate attire will not be tolerated during class. If after a warning from an instructor or other PTS staff member the offense continues I may be asked transfer to leave class with out the possible option to returnanother institution. In this case no refunds will be given. *Scrubs are cases where transferability is guaranteed, Illinois Dental Careers must provide me copies of transfer agreements that name the preferred attire but are not required. Student Initial I understand the risks associated with drawing blood, contracting diseases exact institution(s) and am aware that phlebotomy procedures in class will be performed on fellow students, volunteers include agreement details and staff at Phlebotomy Training Specialists. I also understand that any injury sustained to me or the person I am performing phlebotomy on is solely my responsibility and will hold Phlebotomy Training Specialists harmless. Student Initial I understand that Phlebotomy Training Specialists does not offer job placement. However, resume assistance is available as well as an in class discussion on how to obtain and where to look for employment. Student Initial _ I understand that while PTS will make every effort to hold classes as scheduled, there may be a disruption in projected scheduling due to unforeseen circumstances. I acknowledge that PTS will not make any financial compensations for rescheduling, however, they will also not charge any additional fees for rescheduling. PTS will offer multiple options to complete my course in a timely manner. Should I choose to withdraw from training, the published refund policy will apply. Student Initial I understand that attendance is mandatory to successfully pass this course. Make up class time will be available by contacting Student Services onlylimitations. I understand that I will the school does not be able guarantee job placement to schedule or attend make up classes once my registered class has concluded until my tuition is paid in full as explained General Information of this Registration/Enrollment Agreement. Student Initial I understand that I must log into my student account at xxxxxxxx.xxxxxxxxxxxxx.xxx and check the spelling/format of my name and that how my name appears here is EXACTLY how it will appear on my certificate. I also understand that there is a $20 Fee for Certificate Prints as explained under State Certification Information of this Registration/Enrollment Agreement. Student Initial I understand that I cannot miss the first or second scheduled day of classgraduates upon program completion. I understand that if I miss the first or second scheduled day of classcomplaints, I will be removed from the class and I will be required to select another available class schedule. Student Initial I understand that if I which cannot complete be resolved by direct negotiation with the course I originally school in accordance with its written grievance policy, may be registered forin writing with the Illinois Board of Higher Education, before I Division of Private Business and Vocational Schools. Information about the complaint may be submitted online through the IBHE website (xxxx://xxxxxxxxxx.xxxx.xxx/) Additional information regarding the complaint process can be reassigned obtained by contacting the Board at 0 X. Xxx Xxxxx Xxxxxxx Xxxxx, Xxxxx 000, Xxxxxxxxxxx, XX 00000, Phone Number: (000) 000-0000, Fax Number: (000) 000-0000. The student acknowledges receiving a copy of this completed agreement, the school catalog, and written confirmation of acceptance prior to another class I must have all tuition paid in fullsigning this contract. I also understand The student by signing this contract acknowledges that if I need he/she has read this contract, understands the terms and conditions, and agrees to be reassigned to a class for any reason I must contact Student Services to do so. Student Initial I understand the PTS Refund Policy and am aware that all requests to withdraw from the program must be done in writing as explained conditions outlined in this Registration/Enrollment Agreementcontract. Student Initial I acknowledge It is further understood that I am responsible for the cost of the full tuition this agreement supersedes all prior or contemporaneous verbal or written agreements and fees associated with the program. I understand that failure to make consistent payments to the school will result in my account being sent to collections. I also understand that if I withdraw from the program prior to completion, I am financially responsible for the prorated tuition and fees for the classes which I did attend. Student Initial I understand that I will not be able to graduate or obtain my certification until I have completed the course and paid ALL tuition in full as explained in this Registration/ Enrollment Agreement. Student Initial I understand that in order to sit for the National Exam, I must have ALL tuition paid in full. I also understand that if I have not paid my National Exam fee prior to the test date I may not be guaranteed a seat or exam on test day as explained under modified without the Exam Information section written agreement of this Registration/Enrollment Agreement. I have read and understand this Registration/Enrollment Agreement and agree with the terms set forth therein. By signing below, the student agrees to pay Phlebotomy Training Specialists (“school”) and the total stated tuition & fees. The school agrees to provide the occupational training in accordance with the provisions of the school’s current Catalog Volume No. 11 January 2021 (“Catalog”). Payment of all monies due shall be a condition of continuing enrollment. Upon satisfactory completion of all academic and skill requirements and when all financial obligations to the school have been met the school will award the Phlebotomy Technician Certificate to the student. When signed by both parties this document is a legally binding instrumentSchool officials. The student and the school understand that this Enrollment Agreement, WHICH INCLUDES THE REFUND POLICY may not be amended except in writing and signed by both parties. A copy of will retain a current school catalog and fully executed copy of this enrollment agreement will be sent via emailagreement. Student Signature DateINSTITUTIONAL DISCLOSURES

STUDENT ACKNOWLEDGMENTS. Student Initial I understand that I must show up to class lucid, and mentally and physically rested and prepared. I understand that if the instructor feels I am not prepared I can be questioned, and if necessary necessary, dismissed from that session with the instruction to be prepared for the next session. Students, who are under the influence of alcohol, illicit drugs, prescription drugs or any other mind or body-altering substances cannot participate in class. Student Initial I understand that disruptive behavior, vulgar language language, or inappropriate attire will not be tolerated during class. If the offense continues after a warning from an instructor or other PTS staff member the offense continues member, I may will be asked to leave class with out without the possible option to return. In PTS will abide by the Refund Policy set forth in this case no refunds will be givenagreement. *Scrubs are the preferred attire but are not required. Student Initial I understand the risks associated with drawing blood, contracting diseases and am aware that phlebotomy procedures in class will be performed on fellow students, volunteers and staff at Phlebotomy Training Specialists. I also understand that any injury sustained to me or the person I am performing phlebotomy on is solely my responsibility and will hold Phlebotomy Training Specialists harmless. Student Initial I understand that Phlebotomy Training Specialists does not offer job placement. However, resume assistance is available available, as well as an in in-class discussion on how to obtain and where to look for employment. Student Initial _ I understand that while PTS will make every effort to hold classes as scheduled, there may be a disruption in projected scheduling due to unforeseen circumstances. I acknowledge that PTS will not make any financial compensations for rescheduling, however, they will also not charge any additional fees for rescheduling. PTS will offer multiple options to complete my course in a timely manner. Should I choose to withdraw from training, the published refund policy will apply. Student Initial I understand that attendance is mandatory to successfully pass this course. Make up class time will be available by contacting Student Services only. I understand that I will not be able to schedule or attend make up classes once my registered class has concluded until my tuition is paid in full as explained under General Information of this Registration/Enrollment Agreement. Student Initial I understand that I must log into my student account at xxxxxxxx.xxxxxxxxxxxxx.xxx and check the spelling/format of my name and that how my name appears here is EXACTLY how it will appear on my certificate. I also understand that there is a $20 Fee for Certificate Prints as explained under State Certification Information of this Registration/Enrollment Agreement. Student Initial I understand that I cannot miss the first or second scheduled day of class. I understand that if I miss the first or second scheduled day of class, I will be removed from the class and I will be required to select another available class schedule. Student Initial I understand that if I cannot complete the course I originally registered for, before I can be reassigned to another class I must have all tuition paid in full. I also understand that if I need to be reassigned to a class for any reason I must contact Student Services to do so. Student Initial I understand the PTS Refund Policy and am aware that all requests to withdraw from the program must be done in writing as explained in this Registration/Enrollment Agreement. Student Initial I acknowledge that I am responsible for the cost of the full tuition and fees associated with the program. I understand that failure to make consistent payments (after my removal from class) to the school will result in my account being sent to collections. I also understand that if I withdraw from the program prior to completion, I am financially responsible for the prorated tuition and fees for the classes which I did attend. Student Initial I understand that I must log into my student account at xxxxxxxx.xxxxxxxxxxxxx.xxx and check the spelling/format of my name and that how my name appears there is EXACTLY how it will appear on my certificate. I also understand that there is a $20 Printing Fee should I request a physical copy. This is explained under State Certification Information in this Registration/Enrollment Agreement. Student Initial I understand that I cannot miss the first or second scheduled day of class. I understand that if I miss either of these classes, I will be removed from the class and I will be required to select another available class schedule. Student Initial I understand that if I cannot complete the course I originally registered for, before I can be reassigned to another class, I must have all tuition paid in full. I also understand that if I need to be reassigned to a class for any reason I must contact Student Services to do so. Student Initial I understand that I will not be able to graduate or obtain my certification until I have completed the course and paid ALL tuition in full as explained in under Payment Policy section of this Registration/ Enrollment Agreement. Student Initial I understand that in order to sit for the National Exam, I must have ALL tuition paid in full. I also understand that if I have not paid my National Exam fee prior to the test date I may will not be guaranteed a seat or exam on test day as explained under the Exam Information section of this Registration/Enrollment Agreement. I have read and understand this Registration/Enrollment Agreement and agree with the terms set forth therein. By signing belowthe Enrollment Agreement, I understand my right to receive an exact signed copy of the student agrees agreement and by signing the agreement the institution understands its obligation to pay immediately provide me with an exact signed copy of the agreement. Phlebotomy Training Specialists (“school”) the total stated guarantees that it will not raise tuition & fees. The school agrees to provide the occupational training in accordance with the provisions of the schoolduring student’s current Catalog Volume No. 11 January 2021 (“Catalog”). Payment of all monies due shall be a condition of continuing enrollment. Upon satisfactory completion of all academic and skill requirements and when all financial obligations to the school have been met the school will award the Phlebotomy Technician Certificate to the student. When signed and dated by both parties this document agreement is a legally binding instrument. The student Phlebotomy Training Specialists is authorized by the Tennessee Higher Education Commission. This authorization must be renewed each year and school understand that this Enrollment Agreementis based on an evaluation of minimum standards concerning quality of education, WHICH INCLUDES THE REFUND POLICY may not be amended except in writing ethical business practices, and signed by both partiesfiscal responsibility. A copy of a current school catalog and fully executed copy of this enrollment agreement will be sent via email. AM PM Student Signature DateDate Time

STUDENT ACKNOWLEDGMENTS. Student Initial I understand that I must show up to class lucid, and mentally and physically rested and prepared. I understand that if the instructor feels I am not prepared I can be questioned, and if necessary dismissed from that session with the instruction to be prepared for the next session. Students, who are under the influence of alcohol, illicit elicit drugs, prescription drugs or any other mind or body-altering substances cannot participate in class. Student Initial I understand that disruptive behavior, vulgar language or inappropriate attire will not be tolerated during class. If after a warning from an instructor or other PTS staff member the offense continues I may be asked to leave class with out the possible option to return. In this case no refunds will be given. *Scrubs are the preferred attire but are not required. Student Initial I understand the risks associated with drawing blood, contracting diseases and am aware that phlebotomy procedures in class will be performed on fellow students, volunteers and staff at Phlebotomy Training Specialists. I also understand that any injury sustained to me or the person I am performing phlebotomy on is solely my responsibility and will hold Phlebotomy Training Specialists harmless. Student Initial I understand that Phlebotomy Training Specialists does not offer job placement. However, resume assistance is available as well as an in class discussion on how to obtain and where to look for employment. Student Initial _ I understand that while PTS will make every effort to hold classes as scheduled, there may be a disruption in projected scheduling due to unforeseen circumstances. I acknowledge that PTS will not make any financial compensations for rescheduling, however, they will also not charge any additional fees for rescheduling. PTS will offer multiple options to complete my course in a timely manner. Should I choose to withdraw from training, the published refund policy will apply. Student Initial I understand that attendance is mandatory to successfully pass this course. Make up class time will be available by contacting Student Services student services only. I understand that I will not be able to schedule or attend make up classes once my registered class has concluded until my tuition is paid in full as explained under General Information on page 2 of this Registration/Enrollment Agreement. Student Initial I understand that I must log into my student account at xxxxxxxx.xxxxxxxxxxxxx.xxx and check the spelling/format of my name and that how my name appears here is EXACTLY how it will appear on my certificate. I also understand that there is a $20 15 Fee for Certificate Prints Reprints as explained under State Certification Payment/Certificate/Exam Information on Page 2 of this Registration/Enrollment Agreement. Student Initial I understand that I cannot miss the first or second scheduled day of class. I understand that if I miss the first or second scheduled day of class, I will be removed from the class and I will be required to select another available class schedule. Student Initial I understand that if I cannot complete the course I originally registered for, before I can be reassigned to another class I must have all tuition paid in full. I also understand that if I need to be reassigned to a class for any reason I must contact Student Services student services to do so. Student Initial I understand the PTS Refund Policy and am aware that all requests to withdraw from the program must be done in writing as explained in under General Information on Page 2 of this Registration/Enrollment Agreement. Student Initial I acknowledge that I am responsible for the cost of the full tuition and fees associated with the program. I understand that failure to make consistent payments to the school will result in my account being sent to collections. I also understand that if I withdraw from the program prior to completion, I am financially responsible for the prorated tuition and fees for the classes which I did attend. Student Initial I understand that I will not be able to graduate or obtain my certification until I have completed the course and paid ALL tuition in full as explained in under Payment/Certificate Information on page 2 of this Registration/ Enrollment Agreement. Student Initial I understand that in order to sit for the National Exam, I must have ALL tuition paid in full. I also understand that if I have not paid my National Exam fee at least ONE WEEK prior to the test date I may not be guaranteed a seat or exam on test day as explained under the Payment/Certificate/Exam Information section on Page 2 of this Registration/Enrollment Agreement. I have read and understand this Registration/Enrollment Agreement and agree with the terms set forth therein. By signing below, the student agrees to pay Phlebotomy Training Specialists (“school”) the total stated tuition & fees. The school agrees to provide the occupational training in accordance with the provisions of the school’s current Catalog Volume No. 11 5 January 2021 2018 (“Catalog”). Payment of all monies due shall be a condition of continuing enrollment. Upon satisfactory completion of all academic and skill requirements and when all financial obligations to the school have been met the school will award the Phlebotomy Technician Certificate to the student. When signed by both parties this document is a legally binding instrument. The student and school understand that this Enrollment Agreement, WHICH INCLUDES THE REFUND POLICY may not be amended except in writing and signed by both parties. A copy of a current school catalog and fully executed copy of this enrollment agreement will be sent via email. Student Signature Date Authorized Representative Date In consideration of the opportunity to receive phlebotomy instruction, training, and other services from Phlebotomy Training Specialists (“PTS”), I agree to the following. Although PTS has taken reasonable steps to make the services provided by PTS safe in an effort to avoid injury, I acknowledge and agree that there are inherent risks of physical injury and other damages associated with phlebotomy instruction and training that remain to exist. These inherent risks include, but are not limited to, injury caused by in-class attempts to draw blood from each other by the participants, like myself, receiving instruction and training from PTS. I understand that the above description of risks associated with the phlebotomy instruction and training is not complete, and that other unknown or unanticipated risks may, however very unlikely, result in injury or death. My participation in phlebotomy instruction and training is purely voluntary, based upon my own assessment of all relevant facts and circumstances, in spite of the associated risks. I acknowledge that I am not relying on any oral, written or visual representations made by PTS, including those made in its brochures or other promotional material, in deciding to voluntarily accept the risks associated with my participation in this phlebotomy instruction and training. I hereby agree to accept the risk of any such injury or damage; in addition I agree not to hold PTS, or any of its owners, employees or agents, responsible in any way for any injuries or damages I may incur during, or related in any manner to, the phlebotomy instruction and training I will receive from PTS, even if PTS or its employees or agents act negligently. I also understand that PTS is neither responsible nor liable for my travel to and from classes. I come and go of my own free will and choice and agree not to hold PTS accountable in any way should I become injured in any manner during those travels. In the event I incur any injury arising from, or related in any manner to, my participation in any phlebotomy instruction or training I receive from PTS, I will immediately notify a PTS instructor of the nature and cause of such injury. I hereby agree to defend, indemnify and hold PTS and its owners, employees and agents harmless from any liability, damages or other costs, including, but not limited to, attorney fees and other costs of litigation, related to, or arising from, my participation in any phlebotomy instruction or training I receive from PTS and/or any of my activities related thereto. The prevailing party in any legal action to interpret and/or enforce any of the terms of this Release of Liability shall also be awarded their reasonable attorney fees and other costs and expenses incurred regarding that legal action. This Release of Liability shall be governed by the laws of the State of Utah. Any dispute between me and PTS shall, upon the written demand of either party, be submitted to arbitration before a single arbitrator whose decision shall be binding and conclusive on all parties. Such arbitration shall generally comply with the arbitration rules of the American Arbitration Association (“AAA”), but need not be conducted or otherwise administered by the AAA, and such arbitration shall be conducted by a provider of arbitration services other than the AAA upon the demand of either party. Such arbitration shall be conducted in the State of Utah regardless of where I received phlebotomy instruction or training and regardless of where I may be located at the time of such dispute. I hereby acknowledge that I have carefully read the above Release of Liability and fully understand its contents. I am aware that I am releasing certain legal rights that I may otherwise have by signing this Release of Liability. In return, I will be allowed to participate in the phlebotomy instruction and training sponsored or conducted by PTS. I have had the opportunity to consult with my own attorney, if I so desired, regarding the meaning and effect of this Release of Liability before I signed it. I now sign this Release of Liability of my own free will and choice. Student Signature Date Printed Name Student Tracking Form Location of Training: Class Start Date: State law requires us to track you after graduation. During class at PTS you will be participating in the “Employment Presentation” which covers where to work, how to apply, what to wear, and other resources that correlate to gaining employment. No sooner than 60 days after graduation our staff will attempt to contact you to ask you questions regarding employment. Sharing this information is arbitrary and you are not required to respond to any of our requests for information. In addition to our employment presentation given during class, we offer resume review. Just send the most recent copy of your resume to xxxx@xxxxxxxxxxxxx.xxx and one of our staff members will review and provide feedback within 72 hours. This form will be used to record the data should you choose to participate in reporting it to us. The collecting of this initial information IS required. Student Name Phone # _ Male Female Address City _ _ State Zip _ County SSN (Last 4 digits): Email _ DOB (MM/DD/YYYY) Are you on disability? Yes _No Are you a Veteran? Yes NO_ _ Ethnicity: Hispanic/Latino Hawaiian/Pacific Islander _ Asian Caucasian_ Native/AlaskanAmerican African American Check all that apply below: I am using the certification to strengthen my resume for my existing medical career. I am currently employed in a health care related field and I am not seeking employment. I am currently employed in a non health care related field and I am not seeking employment. I am using the certification to obtain employment in the field of Phlebotomy. Students should be contacted by 60-180 days after graduation from the program. #1 - Was the student reached by mail, email, text or phone call? YES NO_ FOR PTS USE ONLY #2 – Has the student gained employment in the field, which they were trained? YES #3 - Has the student gained employment in a field, other than Phlebotomy? YES #4 – Is the student unemployed? YES NO NO

STUDENT ACKNOWLEDGMENTS. Student Initial I understand that I must show up to class lucid, and mentally and physically rested and prepared. I understand that if the instructor feels I am not prepared I can be questioned, and if necessary necessary, dismissed from that session with the instruction to be prepared for the next session. Students, who are under the influence of alcohol, illicit drugs, prescription drugs or any other mind or body-altering substances cannot participate in class. Student Initial I understand the Conduct and Dismissal Policy as it is outlined in this agreement. I acknowledge that disruptive behaviorI will be subject to the disciplinary procedures if I am in violation of these policies. Student Initial I authorize Intelvio to contact, vulgar language and request information about me (including, without limitation, date of hire, salary, fulfillment of internship requirements, etc.) from, any employer or inappropriate attire potential employer, or anyone through whom I may, do, or did participate in an internship program. Student Initial I acknowledge that I am responsible for the cost of the full tuition and fees associated with the program. I understand that failure to make consistent payments to the school will result in my account being sent to collections. I also understand that if I withdraw from the program prior to completion, I am financially responsible for the prorated tuition and fees for the classes which I did attend. Student Initial I understand that full tuition and fees are due by the halfway point of class. I acknowledge that if my full tuition and fees are not paid by this time, I will need to follow the Payment Policy found in this agreement. Student Initial I understand that if I fail to complete my initial registered course, reassignment into a new class will not be tolerated during allowed until my entire Tuition balance is paid in full. Students must call Student Services to re-enroll in a new class. If after a warning from an instructor or other PTS staff member the offense continues I may be asked to leave class with out the possible option to return. In this case no refunds Please note that rescheduling will be given. *Scrubs are the preferred attire but are not requiredbased on availability. Student Initial I understand the risks associated with drawing blood, such as contracting diseases and am aware that phlebotomy procedures in class will be performed on fellow students, volunteers volunteers, and staff at Phlebotomy Training Specialists. I also understand that any injury sustained to me or the person I am performing phlebotomy on is solely my responsibility and I will hold Phlebotomy Training Specialists harmless. Student Initial I understand that Phlebotomy Training Specialists does not offer job placement. However, resume assistance is available available, as well as an in in-class discussion on how to obtain and where to look for employment. Student Initial _ I understand that while PTS will make every effort to hold classes as scheduled, there may be a disruption in projected scheduling due to unforeseen circumstances. I acknowledge that PTS will not make any financial compensations for rescheduling, however, they will also not charge any additional fees for rescheduling. PTS will offer multiple options to complete my course in a timely manner. Should I choose to withdraw from training, the published refund policy will apply. Student Initial I understand that attendance is mandatory to successfully pass this course. Make up class time will be available by contacting Student Services only. Student Initial I acknowledge that I will be expected to draw blood on my fellow students, and also that I will have my blood drawn by others. I understand that I will not be able may contact Student Services to schedule or attend make up classes once my registered class has concluded until my tuition is paid in full as explained General Information of this Registration/Enrollment Agreement. Student Initial I understand that I must log into my student account at xxxxxxxx.xxxxxxxxxxxxx.xxx and check the spelling/format of my name and that how my name appears here is EXACTLY how it will appear on my certificate. I also understand that there is request a $20 Fee for Certificate Prints as explained under State Certification Information of this Registration/Enrollment Agreementmedical accommodation. Student Initial I understand that I cannot miss the first or second scheduled day eight hours of class. I understand that if I miss any of the first or second scheduled day eight hours of class, class I will be removed from the class and I will be required to select another available class schedule. Student Initial I understand that if I cannot complete the course I originally registered for, before I can be reassigned to another class I must have all tuition paid in fullclass. I also understand that if I need to be reassigned to a class for any reason reason, I must contact Student Services to do so. Student Initial I understand the PTS Refund Policy and am aware that all requests to withdraw from the program must be done in writing as explained in the Cancellation and Refund Policy of this Registration/Enrollment Agreement. Student Initial I acknowledge understand that I am responsible for the cost must send in via email xxxxxxxxx@xxxxxxxxxxxxx.xxx, or fax 000-000-0000 or by upload through my account a copy of my Education Documents. One of the full tuition and fees associated with the program. following is required before I understand that failure to make consistent payments to the school will result can participate in my account being sent to collections. I also understand that class: Copy of High School Diploma and/or transcripts (transcripts must say OFFICIAL if I withdraw from the program prior to completionthey do not send us a diploma), I am financially responsible for the prorated tuition and fees for the classes which I did attendCopy of an OFFICIAL GED OR copy of College Transcripts or Degree. Student Initial I understand acknowledge that I will not be able to graduate or obtain my certification until I have completed received a copy of the course and paid ALL tuition in full as explained in this Registration/ Enrollment Agreement. Student Initial I understand that in order to sit for the National Exam, I must have ALL tuition paid in full. I also understand that if I have not paid my National Exam fee prior to the test date I may not be guaranteed a seat or exam on test day as explained under the Exam Information section of this Registration/Enrollment Agreement. I have read and understand this Registration/Enrollment Agreement and agree with the terms set forth thereinschool’s current Catalog Volume No.12 January 2023 (“Catalog”). By signing below, the student agrees to pay Phlebotomy Training Specialists (“the school”) the total stated tuition & fees. The school agrees to provide the occupational training in accordance with the provisions of the school’s current Catalog Volume No. 11 No.12 January 2021 2023 (“Catalog”). Payment of all monies due shall be a condition of continuing enrollment. Upon satisfactory completion of all academic and skill requirements requirements, and when all financial obligations to the school have been met met, the school will award the Phlebotomy Technician Certificate to the student. When signed by both parties this document is a legally binding instrument. The student and school understand that this Enrollment Agreement, WHICH INCLUDES THE REFUND POLICY POLICY, may not be amended except in writing and signed by both parties. A copy This agreement is not binding until accepted by a representative of the school. When signed and dated by both parties this agreement is a current school catalog legally binding instrument. By signing below, the student has read and fully executed copy understands all aspects of this enrollment agreement will be sent via emailEnrollment Agreement. THE STUDENT WILL BE GIVEN A FULLY EXECUTED COPY OF THIS ENROLLMENT AGREEMENT VIA EMAIL ONCE IT HAS BEEN SIGNED. Student Signature Date

STUDENT ACKNOWLEDGMENTS. Student Initial I understand that I must show up to class lucid, have received and mentally and physically rested and prepared. I understand that if the instructor feels I am not prepared I can be questioned, and if necessary dismissed from that session with the instruction to be prepared for the next session. Students, who are under the influence read a copy of alcohol, illicit drugs, prescription drugs or any other mind or body-altering substances cannot participate in class. Student Initial I understand that disruptive behavior, vulgar language or inappropriate attire will not be tolerated during class. If after a warning from an instructor or other PTS staff member the offense continues I may be asked to leave class with out the possible option to return. In this case no refunds will be given. *Scrubs are the preferred attire but are not required. Student Initial I understand the risks associated with drawing blood, contracting diseases and am aware that phlebotomy procedures in class will be performed on fellow students, volunteers and staff The Art Institute’s current catalog located at Phlebotomy Training Specialists. I also understand that any injury sustained to me or the person I am performing phlebotomy on is solely my responsibility and will hold Phlebotomy Training Specialists harmless. Student Initial I understand that Phlebotomy Training Specialists does not offer job placement. However, resume assistance is available as well as an in class discussion on how to obtain and where to look for employment. Student Initial _ I understand that while PTS will make every effort to hold classes as scheduled, there may be a disruption in projected scheduling due to unforeseen circumstances. I acknowledge that PTS will not make any financial compensations for rescheduling, however, they will also not charge any additional fees for rescheduling. PTS will offer multiple options to complete my course in a timely manner. Should I choose to withdraw from trainingxxxx://xxx.xxxxxxxxxxxxx.xxx/flyover/catalogs/11, the published refund policy will apply. Student Initial I understand that attendance is mandatory to successfully pass this course. Make up class time will be available by contacting Student Services only. I understand that I will not be able to schedule or attend make up classes once my registered class has concluded until my tuition is paid in full as explained General Information provisions of this Registration/Enrollment Agreement. Student Initial I understand that I must log into my student account at xxxxxxxx.xxxxxxxxxxxxx.xxx and check the spelling/format of my name and that how my name appears here is EXACTLY how it will appear on my certificate. I also understand that there is a $20 Fee for Certificate Prints as explained under State Certification Information of this Registration/Enrollment Agreement. Student Initial I understand that I cannot miss the first or second scheduled day of class. I understand that if I miss the first or second scheduled day of class, I will be removed from the class and I will be required to select another available class schedule. Student Initial I understand that if I cannot complete the course I originally registered for, before I can be reassigned to another class I must have all tuition paid in full. I also understand that if I need to be reassigned to a class for any reason I must contact Student Services to do so. Student Initial I understand the PTS Refund Policy and am aware that all requests to withdraw from the program must be done in writing as explained in this Registration/Enrollment Agreement. Student Initial I acknowledge that I am responsible for the cost of the full tuition and fees associated with the program. I understand that failure to make consistent payments to the school will result in my account being sent to collections. I also understand that if I withdraw from the program prior to completion, I am financially responsible for the prorated tuition and fees for the classes which I did attend. Student Initial I understand that I will not be able to graduate or obtain my certification until I have completed the course and paid ALL tuition in full as explained in this Registration/ Enrollment Agreement. Student Initial I understand that in order to sit for the National Exam, I must have ALL tuition paid in full. I also understand that if I have not paid my National Exam fee prior to the test date I may not be guaranteed a seat or exam on test day as explained under the Exam Information section of this Registration/Enrollment Agreementaccept. I have read and understand all provisions of this Registration/Agreement, and I have been given a copy of it for my records. I accept that, to the extent permitted by law, I am responsible for all reasonable collection agency and attorney fees incurred in attempting to collect any unpaid debts to The Art Institute. If I elect a financial aid plan, the plan will be in compliance with the Federal Truth in Lending retail installment requirements and the plan becomes a part of this Enrollment Agreement. (Parents or Guardian must also sign if you are under 18 years of age.) I understand that my enrollment and The Art Institute’s obligations under this Enrollment Agreement (except the cancellation and refund provisions) may be terminated by The Art Institute if I fail to comply with The Art Institute’s attendance, conduct, academic, and/or financial requirements. I understand that The Art Institute also reserves the right to cancel my enrollment if The Art Institute determines (i) that I have demonstrated poor academic potential as determined through entrance testing, evaluation of transcript records, or any other academic evaluations deemed appropriate for the program selected, and/or (ii) that I do not meet all financial obligations related to enrollment and continuing enrollment. I understand that my financial obligations to The Art Institute must be paid in full before a degree may be awarded and before transcripts will be issued. The Enrollment Agreement and agree catalog, together with other published The Art Institute policies, procedures, student conduct codes, and separate college-sponsored housing agreement, if any, shall constitute the terms set forth therein. By signing below, entire agreement between the student agrees to pay Phlebotomy Training Specialists (“school”) and The Art Institute. I understand and agree that they supersede any prior or contemporaneous oral or written agreements or statements and may not be modified without the total stated tuition & fees. The school agrees to provide the occupational training in accordance with the provisions written agreement of the school’s current Catalog Volume NoPresident of The Art Institute. 11 January 2021 (“Catalog”). Payment of all monies due shall be a condition of continuing enrollment. Upon satisfactory completion of all academic and skill requirements and when all financial obligations to the school have been met the school will award the Phlebotomy Technician Certificate to the student. When signed by both parties this document is a legally binding instrument. The student and school I also understand that this Enrollment Agreement, WHICH INCLUDES THE REFUND POLICY may not be amended except in writing and signed Agreement constitutes a binding contract upon the written acceptance by both partiesThe Art Institute. A copy of a current school catalog and fully executed copy Any holder of this enrollment agreement will be sent via emailconsumer credit contract is subject to all claims and defenses that the debtor could assert against the seller of goods or services obtained pursuant hereto or with the proceeds hereof. Student Signature DateRecovery hereunder by the debtor shall not exceed the amount paid by the debtor. My signature below signifies that I have read and understand all aspects of this Agreement and do recognize my legal responsibilities in regard to this Agreement.

STUDENT ACKNOWLEDGMENTS. Student Initial I have read and understand all provisions of this agreement, and I have been given a copy of it for my records. (Parents must also sign if you are under 18 years of age.) I understand that my enrollment and The Art Institute’s obligations under this Enrollment Agreement (except the cancellation and refund provisions) may be terminated by The Art Institute if I must show up fail to class lucidcomply with The Art Institute’s attendance, and mentally and physically rested and preparedconduct, academic, and/or financial requirements. I understand that The Art Institute also reserves the right to deny my enrollment if the instructor feels it is determined (i) that I am not prepared I can be questioned, and if necessary dismissed from that session with the instruction to be prepared for the next session. Students, who are under the influence have demonstrated poor academic potential as determined through evaluation of alcohol, illicit drugs, prescription drugs transcript records or any other mind or body-altering substances canacademic evaluations deemed appropriate for the program selected, and/or (ii) that I do not participate in class. Student Initial I understand that disruptive behavior, vulgar language or inappropriate attire will not be tolerated during class. If after a warning from an instructor or other PTS staff member the offense continues I may be asked meet all financial obligations related to leave class with out the possible option to return. In this case no refunds will be given. *Scrubs are the preferred attire but are not required. Student Initial I understand the risks associated with drawing blood, contracting diseases enrollment and am aware that phlebotomy procedures in class will be performed on fellow students, volunteers and staff at Phlebotomy Training Specialists. I also understand that any injury sustained to me or the person I am performing phlebotomy on is solely my responsibility and will hold Phlebotomy Training Specialists harmless. Student Initial I understand that Phlebotomy Training Specialists does not offer job placement. However, resume assistance is available as well as an in class discussion on how to obtain and where to look for employment. Student Initial _ I understand that while PTS will make every effort to hold classes as scheduled, there may be a disruption in projected scheduling due to unforeseen circumstances. I acknowledge that PTS will not make any financial compensations for rescheduling, however, they will also not charge any additional fees for rescheduling. PTS will offer multiple options to complete my course in a timely manner. Should I choose to withdraw from training, the published refund policy will apply. Student Initial I understand that attendance is mandatory to successfully pass this course. Make up class time will be available by contacting Student Services onlycontinuing enrollment. I understand that my financial obligations to The Art Institute mustbepaidinfullbeforeadiplomaordegree may be awarded and before transcripts will be issued. Both sides of the Enrollment Agreement and the financial plan, together with the catalog and other published Art Institute policies, procedures, provisions of any attached rider(s) signed by me, student conduct codes, andseparatestudenthousingagreement, if any, shallconstitute theentire Agreement between the student and The Art Institute. I will understand and agree that they supersede any prior or contemporaneous oral or written agreements or statements and may not be able to schedule or attend make up classes once my registered class has concluded until my tuition is paid in full as explained General Information modified without the written agreement of this Registration/Enrollment Agreement. Student Initial I understand that I must log into my student account at xxxxxxxx.xxxxxxxxxxxxx.xxx and check the spelling/format of my name and that how my name appears here is EXACTLY how it will appear on my certificate. I also understand that there is a $20 Fee for Certificate Prints as explained under State Certification Information of this Registration/Enrollment Agreement. Student Initial I understand that I cannot miss the first or second scheduled day of classThe Art Institute President. I understand that if I miss the first or second scheduled day of classobtain a loan to pay for an educational program, I will be removed from have the class and responsibility to repay the full amount of the loan plus interest, less the amount of any refund. I will be required to select another available class schedule. Student Initial I further understand that if I canam eligible for a loan guaranteed by the federal or state government and I default on the loan, one or both of the following may occur: 1.) The federal or state government or a loan guarantee agency may take action against me, which includes applying any income tax refund to which the person is entitled to reduce the balance owed on the loan, 2.) I may not complete be eligible for any other federal student financial aid at another institution or other government assistance until the course I originally registered forloan is repaid. Iacceptthat, before I can be reassigned to another class I must have all tuition paid theextentpermittedbylaw, Iamresponsibleforallreasonable collection agency and attorney fees incurred in fullattempting to collect my unpaid debt to The Art Institute. I also understand that if I need this agreement constitutes a binding contract upon signature by student and acceptance by The Art Institute. Any holder of this consumer credit contract is subject to be reassigned to a class for any reason I must contact Student Services to do soall claims and defenses which the debtorcouldassertagainstthesellerofgoodsorservicesobtainedpursuant hereto or with the proceeds hereof. Student Initial I understand Recovery here under by the PTS Refund Policy and am aware that all requests to withdraw from debtor shall not exceed amounts paid by the program must be done in writing as explained in this Registration/Enrollment Agreementdebtor. Student Initial I acknowledge My signature signifies that I am responsible have readandunderstandallaspectsofthisagreementanddorecognizemylegal responsibilities in regard to this contract. Estimated Monthly Supplies (per month): Supplies: $100/month Texts: $75/month Thestudentisresponsiblefortuitionandfeespertainingtotheprogram’s requiredcourseofstudy. Thetuitionandfeescontainedinthis Enrollment Agreement are subject to change. The per credit hour rate is subject to an increase at least once per calendar year which may increase the total amount for the cost of program. The adjustment to the full per credit hour rate may occur before the student begins classes and the student’s program will be calculated using the new rate. Any changes to tuition and fees associated with the will be published to students. The starting kit consists of basic equipment, first-quarter textbooks, and material needed for beginning each program. I understand that failure to make consistent payments to the school will result in my account being sent to collections. I also understand that if I withdraw from the program prior to completion, I am financially responsible for the prorated tuition and fees for the classes which I did attend. Student Initial I understand that I will not be able to graduate or obtain my certification until I have completed the course and paid ALL tuition in full as explained in this Registration/ Enrollment Agreement. Student Initial I understand that in order to sit for the National Exam, I must have ALL tuition paid in full. I also understand that if I have not paid my National Exam fee prior to the test date I may not be guaranteed a seat or exam on test day as explained under the Exam Information section of this Registration/Enrollment Agreement. I have read and understand this Registration/Enrollment Agreement and agree with the terms set forth therein. By signing below, the student agrees to pay Phlebotomy Training Specialists (“school”) the total stated tuition & fees. The school agrees to provide the occupational training in accordance with the provisions A list of the school’s current Catalog Volume No. 11 January 2021 (“Catalog”). Payment components of all monies due shall be a condition of continuing enrollment. Upon satisfactory completion of all academic and skill requirements and when all financial obligations the starting kit is provided to the school have been met the school will award the Phlebotomy Technician Certificate to the each enrolled student. When signed by both parties this document These materials may be purchased at The Art Institute or most supply stores. Kit is a legally binding instrument. The student and school understand that this Enrollment Agreement, WHICH INCLUDES THE REFUND POLICY may not be amended except in writing and signed by both parties. A copy of a current school catalog and fully executed copy of this enrollment agreement will be sent via email. Student Signature Dateoptional.

STUDENT ACKNOWLEDGMENTS. I hereby acknowledge receipt of the school’s catalog, which contains information describing programs offered. The school catalog is included as part of this enrollment agreement and I acknowledge that I have received a copy of this catalog. Student Initial Initials ______ I have carefully read and received an exact copy of this enrollment agreement. Student Initials ______ I understand that the school may terminate my enrollment if I fail to comply with attendance, academic, and financial requirements or if I fail to abide by established standards of conduct, as outlined in the school catalog. While enrolled in the school, I understand that I must show up maintain satisfactory academic progress as described in the school catalog and that my financial obligation to class lucid, and mentally and physically rested and preparedthe school must be paid in full before a certificate or credential may be awarded. Student Initials ______ I understand hereby acknowledge that if the instructor feels I am not prepared I can be questioned, and if necessary dismissed from that session with the instruction school has made available to be prepared for the next session. Students, who are me all required disclosure information listed under the influence Consumer Information section of alcohol, illicit drugs, prescription drugs or any other mind or body-altering substances cannot participate in classthis Enrollment Agreement. Student Initial I understand that disruptive behavior, vulgar language or inappropriate attire will not be tolerated during class. If after a warning from an instructor or other PTS staff member the offense continues I may be asked to leave class with out the possible option to return. In this case no refunds will be given. *Scrubs are the preferred attire but are not required. Student Initial I understand the risks associated with drawing blood, contracting diseases and am aware that phlebotomy procedures in class will be performed on fellow students, volunteers and staff at Phlebotomy Training Specialists. I also understand that any injury sustained to me or the person I am performing phlebotomy on is solely my responsibility and will hold Phlebotomy Training Specialists harmless. Student Initial I understand that Phlebotomy Training Specialists does not offer job placement. However, resume assistance is available as well as an in class discussion on how to obtain and where to look for employment. Student Initial Initials ______ I understand that while PTS will make every effort the school does not guarantee transferability of credit and that in most cases, credits or coursework are not likely to hold classes as scheduledtransfer to another institution. In cases where transferability is guaranteed, there may be a disruption in projected scheduling due to unforeseen circumstances. I acknowledge [school name] must provide me copies of transfer agreements that PTS will not make any financial compensations for rescheduling, however, they will also not charge any additional fees for rescheduling. PTS will offer multiple options to complete my course in a timely manner. Should I choose to withdraw from training, name the published refund policy will applyexact institution(s) and include agreement details and limitations. Student Initial Initials ______ I understand that attendance is mandatory the school does not guarantee job placement to successfully pass this coursegraduates upon program completion. Make up class time will be available by contacting Student Services only. Initials ______ I understand that I will complaints, which cannot be able resolved by direct negotiation with the school in accordance to schedule or attend make up classes once my registered class has concluded until my tuition is paid in full as explained General Information of this Registration/Enrollment Agreement. Student Initial I understand that I must log into my student account at xxxxxxxx.xxxxxxxxxxxxx.xxx and check its written grievance policy, may be filed with the spelling/format of my name and that how my name appears here is EXACTLY how it will appear on my certificate. I also understand that there is a $20 Fee for Certificate Prints as explained under State Certification Information of this Registration/Enrollment Agreement. Student Initial I understand that I cannot miss the first or second scheduled day of class. I understand that if I miss the first or second scheduled day of class, I will be removed from the class and I will be required to select another available class schedule. Student Initial I understand that if I cannot complete the course I originally registered for, before I can be reassigned to another class I must have all tuition paid in full. I also understand that if I need to be reassigned to a class for any reason I must contact Student Services to do so. Student Initial I understand the PTS Refund Policy and am aware that all requests to withdraw from the program must be done in writing as explained in this Registration/Enrollment Agreement. Student Initial I acknowledge that I am responsible for the cost Office of the full tuition and fees associated with the program. I understand that failure to make consistent payments to the school will result in my account being sent to collections. I also understand that if I withdraw from the program prior to completionBoard of Regents, I am financially responsible for the prorated tuition and fees for the classes which I did attend. Student Initial I understand that I will not be able to graduate 0000 Xxxx Xxxxxx, Xxxxxxx Xxxx, Room 209, Honolulu, Hawaii 96822 or obtain my certification until I have completed the course and paid ALL tuition in full as explained in this Registration/ Enrollment Agreement. Student Initial I understand that in order to sit for the National Exam, I must have ALL tuition paid in full. I also understand that if I have not paid my National Exam fee prior to the test date I may not be guaranteed a seat or exam on test day as explained under the Exam Information section of this Registration/Enrollment Agreement. I have read and understand this Registration/Enrollment Agreement and agree with the terms set forth therein. By signing below, the student agrees to pay Phlebotomy Training Specialists (“school”) the total stated tuition & fees. The school agrees to provide the occupational training in accordance with the provisions of the school’s current Catalog Volume No. 11 January 2021 (“Catalog”). Payment of all monies due shall be a condition of continuing enrollment. Upon satisfactory completion of all academic and skill requirements and when all financial obligations to the school have been met the school will award the Phlebotomy Technician Certificate to the student. When signed by both parties this document is a legally binding instrument. The student and school understand that this Enrollment Agreement, WHICH INCLUDES THE REFUND POLICY may not be amended except in writing and signed by both parties. A copy of a current school catalog and fully executed copy of this enrollment agreement will be sent via email. Student Signature Dateat xxx.xxxxxx.xxx.