2027 - Tree of Life Center’s Payment Contract
280-hour Polarity Therapy Program - Level 1
APP Polarity Therapy Program plus RPP hours
Name ____________________________ Pronoun________ Date of Birth _________________
Address_______________________________________________________________________
Phone’s (cell) __________________________________________________________________
Email__________________________________ Website: _______________________________
______ I am applying for the 2027 Tree of Life Center's Foundation Level -1 APP program.
The Somatic Energy Healing program offered by the Tree of Life Center is a professional practitioner training program registered and approved by the American Polarity Therapy Association (APTA) and the International Polarity Education Alliance (IPEA). Student membership in the APTA is included in your registration fee.
The total tuition for the program is $4,400.
~$100 application fee_______dt. Due with application Sept.-Nov. 2026.
~Upon acceptance, a $500 program toward the total tuition is due
by January 23, 2027 ~$500 deposit _____________________ dt. paid
I would like NCBTMB Continuing Education for my NC LMBT License ________________
________ ~I choose to Pay the full tuition at the start of the program T
$3,800 to be paid in full by March 15, 2027, ________________Date paid
(Minus $100 application fee & $500 program Deposit already paid)
(Please pay with a check or Money Order)
_____~I choose the #10 Month payment plan of $395 per month.
(Includes a $15 monthly fee added to pay in #10 installments)
Due the 1st day of each module even if you are unable to attend. Please record the amount, date, and type of payment below each time.
Payment 1: March 15, 2027 Amount: $ 395 _________________________
Payment 2: April 2027 Amount: $ 395 _________________________
Payment 3: May 2027 Amount: $ 395 _________________________
Payment 4: June 2027 Amount: $ 395 _________________________
Payment 5: July 2027 Amount: $ 395 _________________________
Payment 6: August 2027 Amount: $ 395 _________________________
Payment 7: September 2027 Amount: $ 395 _________________________
Payment 8: October 2027 Amount: $ 395_________________________
Payment 9: November 2027 Amount: $ 395_________________________
NOTES:
Payment forms:
-
Venmo @JaniceMarie-Durand
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Checks made out to Janice Marie Durand
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Cash
Any changes to this agreement will be negotiated promptly so a new contract can be drawn up no later than ten days before the start of the program.
Name of Student making this contract:____________________________
Address:___________________________________________________________
City:___________________ State_______Zip__________
Telephone #’s cell:(_____)_______________ e-mail__________________________
I understand the terms of this contract and agree to fulfill them as
specified above. Signature____________________________ Date______
Tree of Life Center
4316 Bradford Ridge Road, Efland, North Carolina 27243
919.265.7417 jmdchi@mindspring www.TreeofLifeCenterNC.com