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ConnectED Education, LLC ENROLLMENT AGREEMENT

420 Corporate Circle, Suite M | Golden, CO 80401 | (303) 993-2237

Approved and Regulated by the Colorado Department of Higher Education,

Private Occupational School Board

 

Admission Requirements

 Individual Courses:

  • Students must be at least 16 years of age to participate in our courses
  • Students must have a high school diploma/GED, be enrolled in a high school/GED program with the expectation to graduate, or be willing to take an Ability to Benefit test/other assessment

Programs: (Mat, Reformer, Comprehensive)

  • Students must be at least 16 years of age to participate in our courses
  • Students must have a high school diploma/GED, be enrolled in a high school/GED program with the expectation to graduate, or be willing to take an Ability to Benefit test/other assessment

Entry-level courses, including Movement Principles, Anatomy in 3-Dimensions, Mat 1, Reformer 1, and Apparatus 1 recommend the following:

  • 6 months teaching a movement-based modality, such as Pilates, Yoga, or other fitness modality.
  • Minimum of 15 hours as a client in the Pilates environment (ex. taking Pilates classes).

Intermediate-level courses, such as Mat 2, Reformer 2, and Apparatus 2, recommend the following

  • Recommend students have completed 20% of program-specific teaching hours (ex. Student teaching, observation, and practice).

Intermediate level course pre-requisites:

  • Successful completion of Movement Principles and requisite level 1 courses.

 Advanced level courses such as Mat 3, Reformer 3 and Apparatus 3

  • Recommend students have completed 50% of program-specific teaching hours (ex. Student teaching, observation, and practice).

Advanced level course pre-requisites:

  • Successful completion of Movement Principles requisite level 1 and 2 courses. For example, Reformer 3 students need to successfully complete Movement Principles, Reformer 1 and Reformer 2.


Please initial for all items below:

I have met the necessary prerequisites required for my course or program as outlined and will provide documentation as required.


I have received a copy of this enrollment agreement and a current school catalog. 



Tuition & Fees

Tuition (individual courses):  $650

CLARA Student Portal: $75 (Paid directly to Balanced Body)

 

Tuition (Balanced Body Mat Instructor):  $3250 (Incl. Anatomy) or $2600 (Anatomy waived)

CLARA Student Portal: $375 (Incl. Anatomy) or $300 (Anatomy waived) (Paid directly to Balanced Body)

Test-out Fee: $275

Total Cost: $3900 (Incl. Anatomy) or $3175 (Anatomy waived)

 

Tuition (Balanced Body Reformer Instructor): $3250 (Incl. Anatomy) or $2600 (Anatomy waived)

CLARA Student Portal: $375 (Incl. Anatomy) or $300 (Anatomy waived) (Paid directly to Balanced Body)

Test-out Fee: $275

Total Cost: $3900 (Incl. Anatomy) or $3175 (Anatomy waived)

 

Tuition (Balanced Body Comprehensive): $7150 (Incl. Anatomy) or $6500 (Anatomy waived)

CLARA Student Portal: $825 (Incl. Anatomy) or $750 (Anatomy waived) (Paid directly to Balanced Body)

Test-out Fee: $275

Total Cost: $8250 (Incl. Anatomy) or $7525 (Anatomy waived)

 

**Enrollment in Mat, Reformer, or Comprehensive Programs requires completion of an anatomy course. Students may waive this requirement by enrolling in our AI3D offering or by requesting a waiver. The following list of programs/licenses are acceptable to waive the anatomy requirement. If you have an additional course that is not listed and you would like to submit for waiver consideration, please contact us directly at support@connectwithpilates.com and provide the following:

●    Name of course

●    Date(s) taken

●    Number of credit hours

●    Course Syllabus

●    Course Certificate

Accepted Professional Licenses:

  • Medical Doctor
  • Physical therapist
  • Osteopath
  • Massage therapist
  • Nurse
  • Nurse Practitioner
  • Chiropractor
  • Acupuncturist

Non-licensed programs with acceptable anatomy training

  • 200+ Yoga Teacher Training
  • Certified Personal Trainer
  • ACSM
  • NASM
  • 1 semester or quarter of anatomy at a university setting

Certificate of completion from one of the following courses

  • Balanced Body Anatomy for Movement Instructors
  • Balanced Body Anatomy in 3D
  • University-level anatomy course

 

Method of Payment  

(cash/check #/credit card/Workforce/WIOA/Veterans Affairs)

 

“THE COST OF CREDIT IS INCLUDED IN THE PRICE QUOTED FOR THE GOODS AND SERVICES.” By signing below, I agree to pay Connected Education, LLC (“school”) the total stated tuition and fees. The school agrees to provide the occupational training in accordance with the provisions of the schools current Course Catalog Volume No 1 dated June 2025. 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 or if the student meets the criteria set forth in C.R.S. 23-5-113.5(2)(b), the school will award the certificate of continuing education to the student. 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. Student Complaints Attempting to resolve any issue with the School first is strongly encouraged. Complaints may be filed by a student or guardian at any time online with the Division of Private Occupational Schools (DPOS) within two years from the student’s last date of attendance or at any time prior to the commencement of training by going to the DPOS website. http://highered.colorado.gov/dpos (303) 862-3001.

 

Students not accepted to the school are entitled to all moneys paid. Students who cancel this contract by notifying the school within three (3) business days are entitled to a full refund of all tuition and fees paid. Students, who withdraw after three (3) business days, but before commencement of classes, are

entitled to a full refund of all tuition and fees paid except the maximum cancellation charge of $150.00 or 25% of the contract price, whichever is less. In the case of students withdrawing after commencement of classes, the school will retain a cancellation charge plus a percentage of tuition and fees, which is based on the percentage of contact hours attended as described in the table below. The refund is based on the official date of termination or withdrawal.

REFUND INFORMATION:

Student is entitled to upon withdraw/termination - Refund

  • Within first 10% of program - 90% less cancellation charge
  • After 10% but within first 25% of program - 75% less cancellation charge
  • After 25% but within first 50% of program - 50% less cancellation charge
  • After 50% but within first 75% of program - 25% less cancellation charge
  • After 75% - NO REFUND

1. The student may cancel this contract at any time prior to midnight of the third business day after signing this contract.

2. All refunds will be made within 30 days from the date of termination. The official date of termination or withdrawal of a student shall be determined in the following manner:

a. The date on which the school receives written notice of the student’s intention to discontinue the training program; or

b. The date on which the student violates published school policy, which provides for termination.

c. Should a student fail to return from an excused leave of absence, the effective date of termination for a student on an extended leave of absence or a leave of absence is the earlier of the date the school determines the student is not returning or the day following the expected return date.

3. The student will receive a full refund of tuition and fees paid if the school discontinues a Program/Stand-Alone course within a period of time a student could have reasonably completed it, except that this provision shall not apply in the event the school ceases operation.

4. The policy for granting credit for previous training shall not impact the refund policy.


Today's Date: May 8, 2026

First Participant's Name
First Name*
Last Name*
Phone*
By checking this box, you agree to receive text message updates from the business who owns this Smartwaiver form. Msg & data rates may apply. Msg frequency is recurring. Reply STOP to opt out.
First Participant's Age Acknowledgment*
First Participant's Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
First Participant's Information
Program (select one or skip and choose individual course):
Mat Instructor (Movement Principles, Mat 1, Mat 2, Mat 3)
Reformer Instructor (Movement Principles, Reformer 1, Reformer 2, Reformer 3)
Comprehensive Pilates Instructor (Movement Principles, Mat 1, Mat 2, Mat 3, Reformer 1, Reformer 2, Reformer 3, Apparatus 1, Apparatus 2, Apparatus 3)
Estimated Completion Date:
Individual Course you are signing this contract for
Movement Principles
Mat 1
Mat 2
Mat 3
Reformer 1
Reformer 2
Reformer 3
Apparatus 1
Apparatus 2
Apparatus 3
Anatomy in 3D
Course Dates:
Type of Instruction: Choose one (Mat, Reformer and Comprehensive Programs are considered HYBRID) *

Student Attestation (to be completed by student guardian if under the age of 18)

Please attest to one (1) of the following (please select ONE): *
I have a highschool diploma GED or equivalent
I am currently enrolled in high schoolGED program and expect to graduate in (see below)
I do not possess a high school diplomaGEDequivalent and am not enrolled in such a program but I am willing to take an Ability to Benefit test or another assessment as determined by ConnectED Education
Date of expected graduation (only for option 2):
If registering for online hybrid courses ONLY: *
N/A
I have the skills and equipment needed to participate synchronously as an online student using ZOOM
I have a working computer with a camera the ZOOM app and all required equipment for each courseprogram in order to participate online I will have a reliable internet connection for the duration of my online course
I agree to be online with my camera turned on as an active participant and have access to the required equipment for the duration of the course

CONCERNING HOLDERS OF THIS CONTRACT: ANY HOLDER OF THIS CONSUMER 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. RECOVERY HEREUNDER BY THE DEBTOR SHALL NOT EXCEED AMOUNTS PAID BY THE DEBTOR HEREUNDER.

First Participant's Signature*
Second Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information
Program (select one or skip and choose individual course):
Mat Instructor (Movement Principles, Mat 1, Mat 2, Mat 3)
Reformer Instructor (Movement Principles, Reformer 1, Reformer 2, Reformer 3)
Comprehensive Pilates Instructor (Movement Principles, Mat 1, Mat 2, Mat 3, Reformer 1, Reformer 2, Reformer 3, Apparatus 1, Apparatus 2, Apparatus 3)
Estimated Completion Date:
Individual Course you are signing this contract for
Movement Principles
Mat 1
Mat 2
Mat 3
Reformer 1
Reformer 2
Reformer 3
Apparatus 1
Apparatus 2
Apparatus 3
Anatomy in 3D
Course Dates:
Type of Instruction: Choose one (Mat, Reformer and Comprehensive Programs are considered HYBRID) *

Student Attestation (to be completed by student guardian if under the age of 18)

Please attest to one (1) of the following (please select ONE): *
I have a highschool diploma GED or equivalent
I am currently enrolled in high schoolGED program and expect to graduate in (see below)
I do not possess a high school diplomaGEDequivalent and am not enrolled in such a program but I am willing to take an Ability to Benefit test or another assessment as determined by ConnectED Education
Date of expected graduation (only for option 2):
If registering for online hybrid courses ONLY: *
N/A
I have the skills and equipment needed to participate synchronously as an online student using ZOOM
I have a working computer with a camera the ZOOM app and all required equipment for each courseprogram in order to participate online I will have a reliable internet connection for the duration of my online course
I agree to be online with my camera turned on as an active participant and have access to the required equipment for the duration of the course

CONCERNING HOLDERS OF THIS CONTRACT: ANY HOLDER OF THIS CONSUMER 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. RECOVERY HEREUNDER BY THE DEBTOR SHALL NOT EXCEED AMOUNTS PAID BY THE DEBTOR HEREUNDER.

Third Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information
Program (select one or skip and choose individual course):
Mat Instructor (Movement Principles, Mat 1, Mat 2, Mat 3)
Reformer Instructor (Movement Principles, Reformer 1, Reformer 2, Reformer 3)
Comprehensive Pilates Instructor (Movement Principles, Mat 1, Mat 2, Mat 3, Reformer 1, Reformer 2, Reformer 3, Apparatus 1, Apparatus 2, Apparatus 3)
Estimated Completion Date:
Individual Course you are signing this contract for
Movement Principles
Mat 1
Mat 2
Mat 3
Reformer 1
Reformer 2
Reformer 3
Apparatus 1
Apparatus 2
Apparatus 3
Anatomy in 3D
Course Dates:
Type of Instruction: Choose one (Mat, Reformer and Comprehensive Programs are considered HYBRID) *

Student Attestation (to be completed by student guardian if under the age of 18)

Please attest to one (1) of the following (please select ONE): *
I have a highschool diploma GED or equivalent
I am currently enrolled in high schoolGED program and expect to graduate in (see below)
I do not possess a high school diplomaGEDequivalent and am not enrolled in such a program but I am willing to take an Ability to Benefit test or another assessment as determined by ConnectED Education
Date of expected graduation (only for option 2):
If registering for online hybrid courses ONLY: *
N/A
I have the skills and equipment needed to participate synchronously as an online student using ZOOM
I have a working computer with a camera the ZOOM app and all required equipment for each courseprogram in order to participate online I will have a reliable internet connection for the duration of my online course
I agree to be online with my camera turned on as an active participant and have access to the required equipment for the duration of the course

CONCERNING HOLDERS OF THIS CONTRACT: ANY HOLDER OF THIS CONSUMER 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. RECOVERY HEREUNDER BY THE DEBTOR SHALL NOT EXCEED AMOUNTS PAID BY THE DEBTOR HEREUNDER.

Fourth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information
Program (select one or skip and choose individual course):
Mat Instructor (Movement Principles, Mat 1, Mat 2, Mat 3)
Reformer Instructor (Movement Principles, Reformer 1, Reformer 2, Reformer 3)
Comprehensive Pilates Instructor (Movement Principles, Mat 1, Mat 2, Mat 3, Reformer 1, Reformer 2, Reformer 3, Apparatus 1, Apparatus 2, Apparatus 3)
Estimated Completion Date:
Individual Course you are signing this contract for
Movement Principles
Mat 1
Mat 2
Mat 3
Reformer 1
Reformer 2
Reformer 3
Apparatus 1
Apparatus 2
Apparatus 3
Anatomy in 3D
Course Dates:
Type of Instruction: Choose one (Mat, Reformer and Comprehensive Programs are considered HYBRID) *

Student Attestation (to be completed by student guardian if under the age of 18)

Please attest to one (1) of the following (please select ONE): *
I have a highschool diploma GED or equivalent
I am currently enrolled in high schoolGED program and expect to graduate in (see below)
I do not possess a high school diplomaGEDequivalent and am not enrolled in such a program but I am willing to take an Ability to Benefit test or another assessment as determined by ConnectED Education
Date of expected graduation (only for option 2):
If registering for online hybrid courses ONLY: *
N/A
I have the skills and equipment needed to participate synchronously as an online student using ZOOM
I have a working computer with a camera the ZOOM app and all required equipment for each courseprogram in order to participate online I will have a reliable internet connection for the duration of my online course
I agree to be online with my camera turned on as an active participant and have access to the required equipment for the duration of the course

CONCERNING HOLDERS OF THIS CONTRACT: ANY HOLDER OF THIS CONSUMER 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. RECOVERY HEREUNDER BY THE DEBTOR SHALL NOT EXCEED AMOUNTS PAID BY THE DEBTOR HEREUNDER.

Fifth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information
Program (select one or skip and choose individual course):
Mat Instructor (Movement Principles, Mat 1, Mat 2, Mat 3)
Reformer Instructor (Movement Principles, Reformer 1, Reformer 2, Reformer 3)
Comprehensive Pilates Instructor (Movement Principles, Mat 1, Mat 2, Mat 3, Reformer 1, Reformer 2, Reformer 3, Apparatus 1, Apparatus 2, Apparatus 3)
Estimated Completion Date:
Individual Course you are signing this contract for
Movement Principles
Mat 1
Mat 2
Mat 3
Reformer 1
Reformer 2
Reformer 3
Apparatus 1
Apparatus 2
Apparatus 3
Anatomy in 3D
Course Dates:
Type of Instruction: Choose one (Mat, Reformer and Comprehensive Programs are considered HYBRID) *

Student Attestation (to be completed by student guardian if under the age of 18)

Please attest to one (1) of the following (please select ONE): *
I have a highschool diploma GED or equivalent
I am currently enrolled in high schoolGED program and expect to graduate in (see below)
I do not possess a high school diplomaGEDequivalent and am not enrolled in such a program but I am willing to take an Ability to Benefit test or another assessment as determined by ConnectED Education
Date of expected graduation (only for option 2):
If registering for online hybrid courses ONLY: *
N/A
I have the skills and equipment needed to participate synchronously as an online student using ZOOM
I have a working computer with a camera the ZOOM app and all required equipment for each courseprogram in order to participate online I will have a reliable internet connection for the duration of my online course
I agree to be online with my camera turned on as an active participant and have access to the required equipment for the duration of the course

CONCERNING HOLDERS OF THIS CONTRACT: ANY HOLDER OF THIS CONSUMER 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. RECOVERY HEREUNDER BY THE DEBTOR SHALL NOT EXCEED AMOUNTS PAID BY THE DEBTOR HEREUNDER.

Sixth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information
Program (select one or skip and choose individual course):
Mat Instructor (Movement Principles, Mat 1, Mat 2, Mat 3)
Reformer Instructor (Movement Principles, Reformer 1, Reformer 2, Reformer 3)
Comprehensive Pilates Instructor (Movement Principles, Mat 1, Mat 2, Mat 3, Reformer 1, Reformer 2, Reformer 3, Apparatus 1, Apparatus 2, Apparatus 3)
Estimated Completion Date:
Individual Course you are signing this contract for
Movement Principles
Mat 1
Mat 2
Mat 3
Reformer 1
Reformer 2
Reformer 3
Apparatus 1
Apparatus 2
Apparatus 3
Anatomy in 3D
Course Dates:
Type of Instruction: Choose one (Mat, Reformer and Comprehensive Programs are considered HYBRID) *

Student Attestation (to be completed by student guardian if under the age of 18)

Please attest to one (1) of the following (please select ONE): *
I have a highschool diploma GED or equivalent
I am currently enrolled in high schoolGED program and expect to graduate in (see below)
I do not possess a high school diplomaGEDequivalent and am not enrolled in such a program but I am willing to take an Ability to Benefit test or another assessment as determined by ConnectED Education
Date of expected graduation (only for option 2):
If registering for online hybrid courses ONLY: *
N/A
I have the skills and equipment needed to participate synchronously as an online student using ZOOM
I have a working computer with a camera the ZOOM app and all required equipment for each courseprogram in order to participate online I will have a reliable internet connection for the duration of my online course
I agree to be online with my camera turned on as an active participant and have access to the required equipment for the duration of the course

CONCERNING HOLDERS OF THIS CONTRACT: ANY HOLDER OF THIS CONSUMER 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. RECOVERY HEREUNDER BY THE DEBTOR SHALL NOT EXCEED AMOUNTS PAID BY THE DEBTOR HEREUNDER.

Seventh Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information
Program (select one or skip and choose individual course):
Mat Instructor (Movement Principles, Mat 1, Mat 2, Mat 3)
Reformer Instructor (Movement Principles, Reformer 1, Reformer 2, Reformer 3)
Comprehensive Pilates Instructor (Movement Principles, Mat 1, Mat 2, Mat 3, Reformer 1, Reformer 2, Reformer 3, Apparatus 1, Apparatus 2, Apparatus 3)
Estimated Completion Date:
Individual Course you are signing this contract for
Movement Principles
Mat 1
Mat 2
Mat 3
Reformer 1
Reformer 2
Reformer 3
Apparatus 1
Apparatus 2
Apparatus 3
Anatomy in 3D
Course Dates:
Type of Instruction: Choose one (Mat, Reformer and Comprehensive Programs are considered HYBRID) *

Student Attestation (to be completed by student guardian if under the age of 18)

Please attest to one (1) of the following (please select ONE): *
I have a highschool diploma GED or equivalent
I am currently enrolled in high schoolGED program and expect to graduate in (see below)
I do not possess a high school diplomaGEDequivalent and am not enrolled in such a program but I am willing to take an Ability to Benefit test or another assessment as determined by ConnectED Education
Date of expected graduation (only for option 2):
If registering for online hybrid courses ONLY: *
N/A
I have the skills and equipment needed to participate synchronously as an online student using ZOOM
I have a working computer with a camera the ZOOM app and all required equipment for each courseprogram in order to participate online I will have a reliable internet connection for the duration of my online course
I agree to be online with my camera turned on as an active participant and have access to the required equipment for the duration of the course

CONCERNING HOLDERS OF THIS CONTRACT: ANY HOLDER OF THIS CONSUMER 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. RECOVERY HEREUNDER BY THE DEBTOR SHALL NOT EXCEED AMOUNTS PAID BY THE DEBTOR HEREUNDER.

Eighth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information
Program (select one or skip and choose individual course):
Mat Instructor (Movement Principles, Mat 1, Mat 2, Mat 3)
Reformer Instructor (Movement Principles, Reformer 1, Reformer 2, Reformer 3)
Comprehensive Pilates Instructor (Movement Principles, Mat 1, Mat 2, Mat 3, Reformer 1, Reformer 2, Reformer 3, Apparatus 1, Apparatus 2, Apparatus 3)
Estimated Completion Date:
Individual Course you are signing this contract for
Movement Principles
Mat 1
Mat 2
Mat 3
Reformer 1
Reformer 2
Reformer 3
Apparatus 1
Apparatus 2
Apparatus 3
Anatomy in 3D
Course Dates:
Type of Instruction: Choose one (Mat, Reformer and Comprehensive Programs are considered HYBRID) *

Student Attestation (to be completed by student guardian if under the age of 18)

Please attest to one (1) of the following (please select ONE): *
I have a highschool diploma GED or equivalent
I am currently enrolled in high schoolGED program and expect to graduate in (see below)
I do not possess a high school diplomaGEDequivalent and am not enrolled in such a program but I am willing to take an Ability to Benefit test or another assessment as determined by ConnectED Education
Date of expected graduation (only for option 2):
If registering for online hybrid courses ONLY: *
N/A
I have the skills and equipment needed to participate synchronously as an online student using ZOOM
I have a working computer with a camera the ZOOM app and all required equipment for each courseprogram in order to participate online I will have a reliable internet connection for the duration of my online course
I agree to be online with my camera turned on as an active participant and have access to the required equipment for the duration of the course

CONCERNING HOLDERS OF THIS CONTRACT: ANY HOLDER OF THIS CONSUMER 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. RECOVERY HEREUNDER BY THE DEBTOR SHALL NOT EXCEED AMOUNTS PAID BY THE DEBTOR HEREUNDER.

Ninth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information
Program (select one or skip and choose individual course):
Mat Instructor (Movement Principles, Mat 1, Mat 2, Mat 3)
Reformer Instructor (Movement Principles, Reformer 1, Reformer 2, Reformer 3)
Comprehensive Pilates Instructor (Movement Principles, Mat 1, Mat 2, Mat 3, Reformer 1, Reformer 2, Reformer 3, Apparatus 1, Apparatus 2, Apparatus 3)
Estimated Completion Date:
Individual Course you are signing this contract for
Movement Principles
Mat 1
Mat 2
Mat 3
Reformer 1
Reformer 2
Reformer 3
Apparatus 1
Apparatus 2
Apparatus 3
Anatomy in 3D
Course Dates:
Type of Instruction: Choose one (Mat, Reformer and Comprehensive Programs are considered HYBRID) *

Student Attestation (to be completed by student guardian if under the age of 18)

Please attest to one (1) of the following (please select ONE): *
I have a highschool diploma GED or equivalent
I am currently enrolled in high schoolGED program and expect to graduate in (see below)
I do not possess a high school diplomaGEDequivalent and am not enrolled in such a program but I am willing to take an Ability to Benefit test or another assessment as determined by ConnectED Education
Date of expected graduation (only for option 2):
If registering for online hybrid courses ONLY: *
N/A
I have the skills and equipment needed to participate synchronously as an online student using ZOOM
I have a working computer with a camera the ZOOM app and all required equipment for each courseprogram in order to participate online I will have a reliable internet connection for the duration of my online course
I agree to be online with my camera turned on as an active participant and have access to the required equipment for the duration of the course

CONCERNING HOLDERS OF THIS CONTRACT: ANY HOLDER OF THIS CONSUMER 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. RECOVERY HEREUNDER BY THE DEBTOR SHALL NOT EXCEED AMOUNTS PAID BY THE DEBTOR HEREUNDER.

Tenth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information
Program (select one or skip and choose individual course):
Mat Instructor (Movement Principles, Mat 1, Mat 2, Mat 3)
Reformer Instructor (Movement Principles, Reformer 1, Reformer 2, Reformer 3)
Comprehensive Pilates Instructor (Movement Principles, Mat 1, Mat 2, Mat 3, Reformer 1, Reformer 2, Reformer 3, Apparatus 1, Apparatus 2, Apparatus 3)
Estimated Completion Date:
Individual Course you are signing this contract for
Movement Principles
Mat 1
Mat 2
Mat 3
Reformer 1
Reformer 2
Reformer 3
Apparatus 1
Apparatus 2
Apparatus 3
Anatomy in 3D
Course Dates:
Type of Instruction: Choose one (Mat, Reformer and Comprehensive Programs are considered HYBRID) *

Student Attestation (to be completed by student guardian if under the age of 18)

Please attest to one (1) of the following (please select ONE): *
I have a highschool diploma GED or equivalent
I am currently enrolled in high schoolGED program and expect to graduate in (see below)
I do not possess a high school diplomaGEDequivalent and am not enrolled in such a program but I am willing to take an Ability to Benefit test or another assessment as determined by ConnectED Education
Date of expected graduation (only for option 2):
If registering for online hybrid courses ONLY: *
N/A
I have the skills and equipment needed to participate synchronously as an online student using ZOOM
I have a working computer with a camera the ZOOM app and all required equipment for each courseprogram in order to participate online I will have a reliable internet connection for the duration of my online course
I agree to be online with my camera turned on as an active participant and have access to the required equipment for the duration of the course

CONCERNING HOLDERS OF THIS CONTRACT: ANY HOLDER OF THIS CONSUMER 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. RECOVERY HEREUNDER BY THE DEBTOR SHALL NOT EXCEED AMOUNTS PAID BY THE DEBTOR HEREUNDER.

Parent or Guardian's Email Address
Email*
Confirm Email*
Participant's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent(s) or Court-Appointed Legal Guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name
First Name*
Last Name*
Phone*
Parent or Guardian's Age Acknowledgment*
Parent or Guardian's Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
Parent or Guardian's Information
Program (select one or skip and choose individual course):
Mat Instructor (Movement Principles, Mat 1, Mat 2, Mat 3)
Reformer Instructor (Movement Principles, Reformer 1, Reformer 2, Reformer 3)
Comprehensive Pilates Instructor (Movement Principles, Mat 1, Mat 2, Mat 3, Reformer 1, Reformer 2, Reformer 3, Apparatus 1, Apparatus 2, Apparatus 3)
Estimated Completion Date:
Individual Course you are signing this contract for
Movement Principles
Mat 1
Mat 2
Mat 3
Reformer 1
Reformer 2
Reformer 3
Apparatus 1
Apparatus 2
Apparatus 3
Anatomy in 3D
Course Dates:
Type of Instruction: Choose one (Mat, Reformer and Comprehensive Programs are considered HYBRID) *

Student Attestation (to be completed by student guardian if under the age of 18)

Please attest to one (1) of the following (please select ONE): *
I have a highschool diploma GED or equivalent
I am currently enrolled in high schoolGED program and expect to graduate in (see below)
I do not possess a high school diplomaGEDequivalent and am not enrolled in such a program but I am willing to take an Ability to Benefit test or another assessment as determined by ConnectED Education
Date of expected graduation (only for option 2):
If registering for online hybrid courses ONLY: *
N/A
I have the skills and equipment needed to participate synchronously as an online student using ZOOM
I have a working computer with a camera the ZOOM app and all required equipment for each courseprogram in order to participate online I will have a reliable internet connection for the duration of my online course
I agree to be online with my camera turned on as an active participant and have access to the required equipment for the duration of the course

CONCERNING HOLDERS OF THIS CONTRACT: ANY HOLDER OF THIS CONSUMER 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. RECOVERY HEREUNDER BY THE DEBTOR SHALL NOT EXCEED AMOUNTS PAID BY THE DEBTOR HEREUNDER.

Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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