Step 2: Enrollment Agreement - Life Energy Institute

Life Energy Institute / Polarity Healing Arts of California
19600 Cave Way, Topanga, CA 90290 - Phone 310.455.7873 - Fax 310.455.9832
Program Enrollment Agreement
Student Name*
Address*
Phone Number*
Email Address*
Please check the program(s) you are enrolling in:
(Name of Individual Class or Classes)*
*
- Associate Polarity Practitioner (APP) The APP program focuses on the basic concepts and science of working with Life Energy. This 139-hour program leads to Certification as an Associated Polarity Practitioner.
- CranioSacral Unwinding Program (CSU) Upon completion of this 216-hour program students receive a certificate that acknowledges they have met a basic competency in classical, contemporary and esoteric CranioSacral techniques.
- Registered Polarity Practitioner (RPP) The RPP program is an advanced training and in-depth exposure to the life energy based healing paradigms of Dr. Randolph Stone. This 316-hour program leads to Certification as a Registered Polarity Practitioner. In addition to the 316 hours, Craniosacral Unwinding I, II and III as well as 50 hours of electives are also required, for a grand total of 438 hours to complete this program.
- Complementary Healing Techniques (CHT) The CHT program is an advanced training and curriculum in complementary energy based skills that will give any practitioner more exposure to specific energy based healing techniques. This 270-hour program leads to Certification of completion.
PLEASE READ - Any questions a student may have regarding this enrollment agreement or problems concerning this school which have not been satisfactorily answered or resolved by the school should be directed to the Bureau for Private Postsecondary Education at 2535 Capitol Oaks Dr. Suite 400, Sacramento, CA 95833, www.BPPE.ca.gov, toll free telephone number (888)370-7589 or by fax, (916)-263-1897. A student or any member of the public may file a complaint about this institution with the Bureau for Private Postsecondary Education by calling toll free (888)370-7589 or by completing a complaint form which can be obtained on the Bureau's internet website, www.BPPE.ca.gov.

All classes and class materials are taught in English. Polarity Healing Arts does not provide translation services. If English is not the student's primary language, and the student is unable to understand the terms and conditions of the enrollment agreement, the student shall have the right to obtain a clear explanation of the terms and conditions and all cancellation and refund policies in his or her primary language.

Registration Deposit: Included in the tuition fees is the $50 non-refundable deposit that is required to hold your space for programs offered by Polarity Healing Arts of California.

Payment Plans: Payment in full for any class may be made at the time of enrollment. However, installment arrangements can be made for any of the courses through the business. Visa, Master Card, Discover and American Express are accepted.

Enrollment Start Date: This enrollment agreement remains in effect until the student graduates from the Program.
Program start date*
MM slash DD slash YYYY
Scheduled Program/Class Graduation date*
MM slash DD slash YYYY
The student may withdraw or cancel from this program at any time. Please refer to the Student's Right to Cancel below.

STUDENT’S RIGHT TO CANCEL: The student has the right to cancel the enrollment agreement and obtain a refund of charges paid through attendance at the first class session, or the seventh day after enrollment, whichever is later. Cancellation must be given in writing either in person or by mail. Students shall be given until midnight following the first day of class to withdraw from the course to receive a refund of all tuition paid less a $50.00 deposit. Refunds for cancellation after that period are based on a pro rata calculation. Students will be charged for the hours of instruction received up to the date the student formally cancels enrollment. Any refund due to student withdrawal will be made within thirty (30) days of the formal cancellation date. Refunds are based on the following formula and on advanced payment in full: 10% Hours of Instruction 90% Refund. 25% Hours of Instruction 75% Refund. 50% Hours of Instruction 50% Refund. 60% Hours of Instruction 40% Refund. Although Polarity Healing Arts does not participate in federal financial aid programs, if the student has received federal student financial aid funds, the student is entitled to a refund of moneys not paid from federal student financial aid program funds. If the student obtains a loan to pay for an educational program, the student will have the responsibility to repay the full amount of the loan plus interest, less the amount of any refund. If the student is eligible for a loan guaranteed by the federal or state government and the student defaults on the loan, both of the following may occur:
(1) The federal or state government or a loan guarantee agency may take action against the student, including applying any income tax refund to which the person is entitled to reduce the balance owed on the loan.
(2) The student may not be eligible for any other federal student financial aid at another institution or other government assistance until the loan is repaid.

Transferring Credits
Due to the unique nature of our curriculum, PHAC generally does not accept credits from other healing arts institutions.

Notice concerning transferability of credits and credentials earned at our institution.
The transferability of credits you earn at PHAC is at the complete discretion of an institution to which you may seek to transfer. Acceptance of the certificate you earn in Polarity Healing Arts educational program is also at the complete discretion of the institution to which you may seek to transfer. If the certificate that you earn at this institution are not accepted at the institution to which you seek to transfer, you may be required to repeat some or all of your coursework at that institution. For this reason you should make certain that your attendance at this institution will meet your educational goals. This may include contacting an institution to which you may seek to transfer after attending PHAC to determine if you certificate will transfer.

Administrative Location: 19600 Cave Way, Topanga, CA 90290 310.455.7873 / 310.455.9832 Classes may be enrolled in by phone, fax, e-mail or standard mail.
Class Locations: Classes are held either at Temescal Canyon Conference and Retreat Center, 15601 Sunset Blvd., Pacific Palisades, CA 90272 or at the Institute of Psycho-Structural Balancing, 5817 Uplander Way, Culver City, CA 90230. Student will be clearly notified as to where class is being held.
Name of Program/Class*
Tuition (includes the $50 non-refundable deposit)*
Text Books*
Individual Sessions (non-refundable)*
TOTAL PROGRAM COST*
TOTAL AMOUNT DUE UPON ENROLLMENT*
All materials necessary for completion of the APP, RPP, and CSU Programs are provided with the exceptions of massage tables and sheets. We highly recommend students purchase their own massage table sometime during their training. Massage tables cost between $300-$600 depending on the make, model, and condition of the table.

You must pay the state-imposed fee for the Student Tuition Recovery Fund (STRF) if all of the following applies to you: • 1. You are a student, who is a California resident and prepays all or part of your tuition either in cash, guaranteed student loans, or personal loans, and • 2. Your total charges are not paid by any third-party payer such as an employer, government program or other payer unless you have a separate agreement to repay the third party. • You are not eligible for protection from the STRF and you are not required to pay the STRF fee if either of the following applies: • 1. You are not a California resident, • 2. Your total charges are paid by a third party, such as an employer, government program or other payer, and you have no separate agreement to repay the third party.

THIS IS A LEGALLY BINDING INSTRUMENT WHEN SIGNED BY THE STUDENT AND ACCEPTED BY THE SCHOOL. If you need assistance in understanding the terms and condition of this enrollment agreement due to English not being your primary language, please call our office at 310-455-7873.
Student's Initials*
Prior to signing this enrollment agreement you must be given a catalog and brochure and a School Performance Fact Sheet, which you encouraged to review, prior to signing this agreement. These documents contain important policies and performance data for this institution. This institution is required to have you sign and date the information included in the School Performance Fact Sheet relating to completion rates, placement rates, license examination passage rates and salaries or wages prior to signing to this agreement.
Student's Initials*
I understand that this is a legally binding contract. My signature below certifies that I have read, understood and agreed to my right and responsibilities, and that the institution’s cancellation and refund policies have been clearly explained to me.
(Print Full Name)*
Signature*
Date*
MM slash DD slash YYYY
(Administrator of School Representative Signature)
Date
MM slash DD slash YYYY
Polarity Healing Arts of CA
School Performance Fact Sheet
Completion Rates – 100% of the students who have enrolled in our programs have completed the program.
Student Initials*
Date*
MM slash DD slash YYYY
Placement Rates- It is rare that a student will become a practitioner of just Polarity or Craniosacral Unwinding. Usually our students are already licensed health professionals looking to grow in their healing skills. However, approximately twenty to thirty percent of our students specifically become Polarity and/or Craniosacral Practitioners, with the option .
Student Initials*
Date*
MM slash DD slash YYYY
Salary Rates - Salaries for entry level positions for Polarity Therapists or Cranial Sacral Therapists range from the $24,000 - $38,000. Depending on the particular position and experience of the graduate, as well as additional credentials they may earn, salaries can be expected to reach up to $60,000 per year. The average cost for a one hour polarity or cranial sacral unwinding session ranges from $65.00 - $125.00. Many employers such as spas or healing centers pay therapists in the range of $25 - $40 per hour or have a 60-40 or 50-50 split.

We have found that most of our graduates are entrepreneurs and create their own practices in their chosen area of interest. Often, while maintaining their private practices, practitioners will collaborate professionally and combine their skills to offer a wider range of treatments for their clients.
Student Initials*
Date*
MM slash DD slash YYYY
Passing Rates for Board Certification with the American Polarity Therapy Association(APTA) -
As of 2012, APTA now requires Registered Polarity Therapy Practitioners to pass an exam before receiving RPP accreditation. As this exam is new as of 2012, we do not currently have passing rates for this exam, however, more information regarding this exam can be obtained from the American Polarity Therapy Association at www.polaritytherapy.org.
Student Initials*
Date*
MM slash DD slash YYYY
Signature of Student*
Date*
MM slash DD slash YYYY
Signature of School Administrator
Date
MM slash DD slash YYYY
Form Dated 8/3/12