College Admissions Prep - Purchase Request Form Step 1 of 4 25% Today's Date* MM slash DD slash YYYY Student's Name* First Last Parent's Name* First Last Parent's Cell Phone*Parent's E-mail Address(es)* A+ Skills Tutoring Service, Inc. requires a credit card to be on file at all times. . Prior to your student's first session, we will require a credit card to be filed, including the credit card number, expiration date, and security code. This portion of your application indicates the customized package you would like to purchase through A+ Skills Tutoring Service, Inc. for your student. Package selection and supplemental items are required to be selected with the submission of this application. Our standard rates and discounted packages are as follows, with our rates of our specialized services and consultations below:Hourly Sessions - $85.00 per hour*Hourly RateQuantity of Hours You Wish to Purchase*1 Hour - $85.002 Hours - $170.003 Hours - $255.004 Hours - $340.005 Hours - $425.006 Hours - $510.007 Hours - $595.008 Hours - $680.009 Hours - $765.0010 Hours - $850.00Payment Agreement (Please check the box after reading it.)* I, the parent/payee, agree to pay my quantity of hours selection in FULL prior to the student's first session. Initial Electronic Agreement - Scheduling & Cancellation Policy* By checking this box, I have read, understand, and agree to all sections of the A+ Skills Tutoring Scheduling & Cancellation Policy. I understand that checking this box acts as my electronic signature. AGREEMENT. Upon execution of this agreement, A+ Skills Tutoring Service, Inc., a Florida Corporation (hereinafter referred to as “A+ Skills Tutoring™”) is hereby authorized to provide tutoring services and/or materials specified and payment will be made as outlined herein. By signing this agreement, you recognize and acknowledge that A+ Skills Tutoring™ will provide tutoring services. You further acknowledge that A+ Skills Tutoring™, it’s officers, shareholders, employees, agents, successors or assigns make no promise, representation or guarantee of any kind whatsoever, without limitation, concerning the academic performance or academic progress of your child or the child that is being tutored. You further acknowledge that any evaluation, expression or comment that A+ Skills Tutoring™ has made, or may have made, now or in the future, is an expression of opinion only and in no way constitutes a representation, guarantee or promise of any kind. MEDIATION AND ARBITRATION. Any disputes between the parties hereto, whether arising under this agreement, or otherwise, which the parties cannot resolve between themselves using good faith shall be referred to a court certified mediator in Collier County. The client shall bear the cost of said mediation. In the event that the dispute is not resolved in mediation, the parties shall submit the dispute to a neutral arbiter residing in Collier County. If either party refuses to comply with a ruling or decision of the arbiter, and a lawsuit is brought to enforce said ruling or decision, it is agreed that the party not complying with the ruling or decision shall pay all of the court costs and reasonable attorney’s fees incurred in enforcing the ruling or decision of the arbitrator. ENTIRE AGREEMENT. This agreement constitutes the entire understanding of the parties and supersedes all prior discussions, negotiations agreements and understandings, whether written or oral, with respect to its subject matter. MODIFICATION. No change or modification of this Agreement shall be valid unless it is IN WRITING AND SIGNED BY ALL THE PARTIES who are bound by the terms of this Agreement. SEVERABILITY. If any provision of this Agreement is held invalid, unenforceable, or void by a court of competent jurisdiction, this Agreement shall be considered divisible as to such provision, and the remainder of the Agreement shall be valid and binding as though such provision were not included in this Agreement. PLEASE NOTE: An Initial Client Meeting is a scheduled in-person meeting to go over information regarding our programs that would normally be verbalized over the phone with an A+ Skills representative prior scheduling a student’s first session. All Initial Client Meeting fees are non-refundable. This fee is applied towards discounted packages only. A+ Skills Tutoring requires a deposit of $70.00 per hour prior to the student’s first session that may be applied towards a discounted package if selected prior to the start of the student’s second session. VENUE AND JURISDICTION. Should a lawsuit be necessary to enforce this Agreement the parties agree that jurisdiction and venue are waived and suit shall be brought in Collier County. HEADINGS. Headings in this Agreement are for convenience only and shall not be used to interpret or construe its provisions. GOVERNING LAW. This Agreement shall be governed by the laws of the State of Florida (without regard to the laws that might be applicable under principles of conflicts of law) as to all matters, including, but not limited to, matters of validity, construction, effect and performance. COUNTERPARTS. This Agreement may be executed in two or more parts, each of which shall be deemed an original but all of which together shall be one and the same instrument. RELEASE By signing this release and these Terms and Conditions, I/we hereby agree to release and hold harmless and forever discharge A+ Skills Tutoring™ and its subsidiaries, affiliates, successors, and assigns and the Directors, officers, shareholders, employees, representatives and agents of each of the foregoing (collectively "Releasees") of and from any and all claims, demands, and liabilities whatsoever of every name and nature as a result of participating in the tutoring offered by A+ Skills Tutoring™, including that of ordinary negligence on the part of A+ Skills Tutoring™. This release shall bind myself, my heirs, my assigns, and my personal representatives. If I am signing on behalf of another, I hereby represent that I am the legal or nature guardian of the child or ward on behalf of whom I am signing this instrument and that I have the legal authority to sign this instrument on behalf of said individual; I also hereby agree to indemnify and hold A+ Skills Tutoring™ harmless from any and all actions, causes of action, damages, claims, or demands that may arise from or as a result of A+ Skills Tutoring™ reliance on such representation. Additionally, I authorize A+ Skills Tutoring to process my credit card on file for payment if I do not pay the amount in full via an alternative payment method. I understand that I am responsible for paying the entire amount of a discounted tutoring package if selected. I am aware and understand that there are no refunds when purchasing tutoring sessions, including hourly and discounted tutoring packages. Initial Electronic Agreement - Completion of Tutoring Application* By checking this box, I have read, understand, and agree to all the aforementioned terms and conditions. I understand that checking this box acts as my electronic signature.
