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Sapience School Day - Registration Form

Sapience School Day – Registration Form

School Day Program - Registration Form

- Step 1 of 4

General Information

Champions name *

First

Last

School Name *

If your child's school has multiple locations, please specify the location as well

Grade *

Date of Birth *

Gender *

Parent's Name *

First

Last

Parent's Mobile Number *

Alternate Number

Parent's Email Address *

Billing Address *

Address Line 1

Address Line 2

City

State

Zip Code

Payment Information

Payment Method *

Card Number *

Name as it appears on card *

Expiration Date *

Zip Code *

Amount Payable Information

Details the card will be Authorized for

How many Days per week would you like to enroll for: *

Select all the Days you want to Enroll for: *

Monday
Tuesday
Wednesday
Thursday
Friday

Deposit for 1 Day *

$140.00

Please select to confirm the deposit amount.

Deposit for 2 Days *

$280.00

Please select to confirm the deposit amount.

Deposit for 3 Days *

$210.00

Please select to confirm the deposit amount.

Deposit for 4 Days *

$280.00

Please select to confirm the deposit amount.

Deposit for 5 Days *

$320.00

Please select to confirm the deposit amount.

Set-up Fee *

$ 30.00

Please select to agree on the set-up fee

Initial Total Amount for 1 day per week *

$170

The initial amount (includes the deposit & Set-up fee) is charged at the time of registration.

Initial Total Amount for 2 days per week *

$310

The initial amount (includes the deposit & Set-up fee) is charged at the time of registration.

Initial Total Amount for 3 days per week *

$240

The initial amount (includes the deposit & Set-up fee) is charged at the time of registration.

Initial Total Amount for 4 days per week *

$310

The initial amount (includes the deposit & Set-up fee) is charged at the time of registration.

Initial Total Amount for 5 days per week *

$350

The initial amount (includes the deposit & Set-up fee) is charged at the time of registration.

Recurring Amount - 1 day per week *

$35

The recurring amount will be deducted every Saturday.

Recurring Amount - 2 days per week *

$70

The recurring amount will be deducted every Saturday.

Recurring Amount - 3 days per week *

$105

The recurring amount will be deducted every Saturday.

Recurring Amount - 4 days per week *

$140

The recurring amount will be deducted every Saturday.

Recurring Amount - 5 days per week *

$160

The recurring amount will be deducted every Saturday.

Recurring charge start date *

Nov 21st, 2020

The recurring amount will begin on Saturday.

Recurring charge end date *

November 21st, 2020

School's 1st semester ends Dec 18th, 2020

The remaining 4 weeks is paid with the Deposit.

Recurring charge end date *

November 28th, 2020

School's 1st semester ends Dec 18th, 2020

The remaining 2 weeks is paid with the Deposit.

Policy Agreement

Acceptance of Terms *

I agree to accept the Terms & Conditions.
All information (Includes all information at www.thesapience.com) or service provided by The Sapience LLC (DBA "SAPIENCE") are subject to the following Terms & Conditions. The Sapience LLC reserves the right to update the Terms and Conditions at any time by sending a notice to you.

Recurring Charge *

I hereby agree to Auto-pay
By clicking, I agree and will complete the form to authorize The Sapience LLC to make recurring charges to my credit card listed above.
I agree to pay a penalty of $10.00 for every decline transaction.
I agree to pay a penalty of $10.00 per day after the 2nd day of due/declined transaction.

Deposit Policy *

Any Deposits made are Non-Refundable
By clicking, I agree and complete the form to authorize The Sapience LLC to make a one-time deposit charged to my credit card listed above.

Refund Policy *

I agree to the refund policy (Refunds are only considered if Sapience cannot provide the service that was purchased)

I agree to the Service Agreement, https://www.thesapience.com/service-agreement/ *

I Understand, completing this form online doesn't require any physical signature.

I agree to the Sapience Policies, https://www.thesapience.com/sapiencepolicy *

I Understand, completing this form online doesn't require any physical signature.

Online Signature *

I Understand, completing this form online doesn't require any physical signature.

Print your name below to sign the Registration Form

Email

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