Enrollment Agreement

ACTIVITY RELEASE OF LIABILITY
READ CAREFULLY - THIS AFFECTS YOUR LEGAL RIGHTS

In exchange for participation in the activity of Blood Draws venipuncture phlebotomy course, IV venipuncture course organized by ("Contracted instructors of Oquirrh Mountain Phlebotomy School LLC"), agree to the following:

1. I agree to observe and obey all posted rules and warnings, and further agree to follow any oral instructions or directions given by Contracted instructors of Oquirrh Mountain Phlebotomy School LLC, or the employees, representatives or agents of Contracted instructors of Oquirrh Mountain Phlebotomy School LLC.

2. I recognize that there are certain inherent risks associated with the above described activity and I assume full responsibility for personal injury to myself and any individual, and further release and discharge Contracted instructors of Oquirrh Mountain Phlebotomy School LLC for injury, loss or damage arising out of my presence upon the facilities of Contracted instructors of Oquirrh Mountain Phlebotomy School LLC, whether caused by the fault of myself or another student, Contracted instructors of Oquirrh Mountain Phlebotomy School LLC or other third parties.

3. I agree to indemnify and defend Contracted instructors of Oquirrh Mountain Phlebotomy School LLC against all claims, causes of action, damages, judgments, costs or expenses, including attorney fees and other litigation costs, which may in any way arise from my or my family's use of or presence upon the facilities of Contracted instructors of Oquirrh Mountain Phlebotomy School LLC.

4. I agree to pay for all damages to the facilities of Contracted instructors of Oquirrh Mountain Phlebotomy School LLC caused by my negligent, reckless, or willful actions.

5. Any legal or equitable claim that may arise from participation in the above shall be resolved under state law in which the class was taken.

6. I agree and acknowledge that I am under no pressure or duress to sign this Agreement and that I have been given a reasonable opportunity to review it before signing. I further agree and acknowledge that I am free to have my own legal counsel review this Agreement if I so desire. I further agree and acknowledge that Contracted Instructors of Oquirrh Mountain Phlebotomy School LLC have offered to refund any fees I have (as long as it's within the 3 day refund policy) if I choose not to sign this Agreement.

7. This Agreement and each of its terms are the product of an arms' length negotiation between the Parties. In the event any ambiguity is found to exist in the interpretation of this Agreement, or any of its provisions, the Parties, and each of them, explicitly reject the application of any legal or equitable rule of interpretation which would lead to a construction either "for" or "against" a particular party based upon their status as the drafter of a specific term, language, or provision giving rise to such ambiguity.

8. The invalidity or unenforceable of any provision of this Agreement, whether standing alone or as applied to a particular occurrence or circumstance, shall not affect the validity or enforceability of any other provision of this Agreement or of any other applications of such provision, as the case may be, and such invalid or unenforceable provision shall be deemed not to be a part of this Agreement.

9. Any controversy or claim arising out of or relating to this contract, or the breach thereof, shall be settled by arbitration administered by the American Arbitration Association in accordance with its Commercial Arbitration Rules, and judgment on the award rendered by the arbitrator(s) may be entered in any court having jurisdiction thereof.

10. In case of an emergency, Please call: (Relationship): at Phone:

I HAVE READ THIS DOCUMENT AND UNDERSTAND IT. I FURTHER UNDERSTAND THAT BY SIGNING THIS RELEASE, I VOLUNTARILY SURRENDER CERTAIN LEGAL RIGHTS.

I understand and agree that this is a legal representation of my signature.

 

Oquirrh Mountain Phlebotomy School LLC 3333 S. Bannock St suite B100 Englewood CO 80110 P.720-773-9868
Volume 1. Date: 01-01-2023
Approved and Regulated by the Colorado Department of Higher Education, Private Occupational School Board

Introduction

Oquirrh Mountain Phlebotomy School LLC will help you learn the basics to drawing blood or performing IV venipunctures by being confident in your job as a phlebotomist or IV technician. We take you through all of the job scenarios that you would go through. Our students choose us for our unlimited training program and prices. Our phlebotomy or IV training courses come with unlimited training. Our instructors are all working professionals so you can feel good about up to date training in the field. Our classes are for beginners and for those who just need a refresher phlebotomy or IV course.

Program Title: Phlebotomy Course Program Title: IV Course
Phlebotomy CourseHours/classes/Lessons: 32 Hours 17 theory hours 15 lab hours. IV course Hours/classes/Lessons: 4 Hours 1 theory hour 3 lab hours.

IV course Date training to begin:  

General Information

Student Name:  

Address of Student:  

Home Phone:  

Race / Ethnicity:  

Gender:  

Program/ Stand alone course:

Program Course: {see selection above}

Start Date: End Date: {see selection above}

Type of Instruction:

Classroom

Admission Requirements:

High school Diploma or GED:  

Method of payment and/or Payment schedule:
Students can register on our website at www.oqmps.com a deposit of $100.00 or full fee
can be paid on our website with: Card
The total for the phlebotomy class is $475 and must be paid the first day of their scheduled class. The total for the IV class is $225.00 and must be paid the first day of their scheduled class. Anyone finishing their payment can do so with card, cash, or Money order (No personal checks).

The School is owned by Oquirrh Mountain Phlebotomy School LLC . Director: Dallas Rasmussen
Assistant Director: Sabrina Rasmussen
Agent: Allison Szabelski

Programs/Courses Offered

Certificate Program: Phlebotomy Certification Course
Certificate Program: IV Certification Course
Phlebotomy Course length/hours 32 Hours total 17 theory hours 15 lab hours.
Each course is offered 5 days a month Monday through Friday January - December
IV Course length/hours 4 Hours total 4 hours in class. 1 theory hour and 3 lab hours. Each course is offered 1 saturday a month January- December
Phlebotomy Occupational Objective: The graduate will be able to acquire a position in the field of phlebotomy performing blood specimen collection.
IV Occupational Objective: The graduate will be able to acquire a position performing IV’s as part of their job description.
Admission Requirements: You must have your High school diploma or a General Education Development certificate and be 18 or older to be accepted into the phlebotomy course. And this Enrollment agreement must be signed.
Each student will receive a copy of the current enrollment agreement and catalog with its volume and date.

Phlebotomy Program /Course Costs

Tuition - Phlebotomy Program
Registration $100 (deposit)
Total Tuition/Fees $475
Books/Supplies $0.00
Equipment $0.00

IV Program /Course Costs

Tuition - Phlebotomy Program
Registration $100 (deposit)
Total Tuition/Fees $225
Books/Supplies $0.00
Equipment $0.00

Refund Policy: If a student cannot be accepted by the school the student will receive a full refund. Each student will have a 72 hour cooling off period in which the student that Enrolls will have three business days to receive a full refund. A three-business-day cooling-off period, commencing with the day an enrollment agreement with the applicant is signed and an initial deposit or payment toward tuition and fees of the institution is made until midnight of the third business day following such date or from the date that the student first visits the institution, whichever is later.

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 cancellation charge of 25% of course price (Phlebotomy course $118.75) (IV course $56.25). Students will also have the opportunity to reschedule at a future date one time at no cost if they choose not to cancel but need to start at a later scheduled class.

Any credit or previous training given by another party shall not impact the refund policy. Any withdrawals or in-completion of the course on the instructor's or Schools part the student will receive a full refund.
For any student withdrawal/termination refer to the refund formula below.

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 when The date on which the school receives written notice of

the student’s intention to discontinue the training program; or The date on which the student violates published school policy, which provides for termination.

A student will receive a full refund if education services is discontinued by the school, Except if the school ceases operation.

Refund Formula:
Student is entitled to upon withdrawal/termination

Within first 10% of program (Lesson 1 first day): 90% less cancellation charge

After 10% but within first 25% of program (Lesson 2 Second day): 75% less cancellation charge

After 25% but within first 50% of program (Lessons 3 Third day): 50% less cancellation charge

After 50% but within first 75% of program (Lessons 4 Fourth day): 25% less cancellation charge

After 75% (Lesson 5 Fifth day) No Refund

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 at http://highered.colorado.gov/dpos, 303-862-3001.

By signing below, the student agrees to pay Oquirrh Mountain Phlebotomy School LLC the total stated tuition of the program.
The school agrees to provide the occupational training in accordance with the provisions of the school’s
Current Catalog Volume No._1________ Dated___01/01/2023_____ (“Catalog”). 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 the school will award the
Certificate 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.

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

School Approved Agent: Oquirrh Mountain Phlebotomy School LLC

Catalog

Oquirrh Mountain Phlebotomy School LLC 3333 S. Bannock St suite B100 Englewood CO 80110 P.720-773-9868
Volume 1. Date: 01-01-2023
Approved and Regulated by the Colorado Department of Higher Education, Private Occupational School Board

Table of Contents / Page
Table of contents 1 Introduction 2
Hours/classes/Lessons 2 Programs & Courses 2 Admission Requirements 3
Enrollment Procedures 3
Tuition Amount 9
Class Schedules 7
Students grievance procedure 4 Previous Credits 9
Refund Policy 4
Student Complaints 5 Entrance Requirements 3
Facilities equipment / Teaching aids 6 Postponement of Start Date 6 Conduct Policy 8
Attendance Policy 8
Progress Policy 8 Dismissal 8
Placement Assistance 8 Educational Service 9
System of reporting grades 4

Introduction
Oquirrh Mountain Phlebotomy School LLC will help you learn the basics to drawing blood and being confident in your job as a phlebotomist. We take you through all of the job scenarios that you would go through. Our students choose us for our unlimited phlebotomy training program and prices. Our phlebotomy training courses come with unlimited blood draws. Our instructors are all working phlebotomists so you can feel good about up to date training in the field. Our classes are for beginners and for those who just need a refresher phlebotomy course. Our IV class you will learn the basics to starting IV’s for employers.
Program Title: Phlebotomy Course Program Title: IV Course
Phlebotomy CourseHours/classes/Lessons: 32 Hours 17 theory hours 15 hours in the classroom / 5 lessons / No Credits
IV course Hours/classes/Lessons: 4 Hours / 5 lessons in class / No Credits

The School is owned by Oquirrh Mountain Phlebotomy School LLC Director: Dallas Rasmussen
Assistant Director: Sabrina Rasmussen
Agent: Allison Szabelski
Programs/Courses Offered
Certificate Program: Phlebotomy Certification Course
Certificate Program: IV Course
Admission Requirements: You must have your High school diploma or a General Education Development certificate and be 18 or older to be accepted into the phlebotomy course. And this Enrollment agreement must be signed.
Entrance Requirements The school does not discriminate based on race, sex, religion, ethnic origin, or disability.
Enrollment procedures: Each student must enroll on the website www.oqmps.com Late enrollment is not permitted.

System of reporting grades: Both the phlebotomy and IV course is pass or fail. Students will receive a certificate of completion at the end of the course

Credit for previous training disclosure: Credit hours are not transferable at any other institution.

Refund Policy: If a student cannot be accepted by the school the student will receive a full refund. Each student will have a 72 hour cooling off period in which the student that Enrolls will have three business days to receive a full refund. A three-business-day cooling-off period, commencing with the day an enrollment agreement with the applicant is signed and an initial deposit or payment toward tuition and fees of the institution is made until midnight of the third business day following such date or from the date that the student first visits the institution, whichever is later.

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 cancellation charge of 25% of course price (Phlebotomy course $118.75) (IV course $56.25). Students will also have the opportunity to reschedule at a future date one time at no cost if they choose not to cancel but need to start at a later scheduled class.

A student will receive a full refund if education services is discontinued by the school, Except if the school ceases operation.

Any credit or previous training given by another party shall not impact the refund policy. Any
withdrawals or in-completion of the course on the instructor's or Schools part the student will receive a
full refund.
For any student withdrawal/termination refer to the refund formula below.
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 when The date on which the school receives written notice of the student’s intention to discontinue the training program; or The date on which the student violates published school policy, which provides for termination

Refund Formula:
Student is entitled to upon withdrawal/termination

Within first 10% of program (Lesson 1 first day): 90% less cancellation charge

After 10% but within first 25% of program (Lesson 2 Second day): 75% less cancellation charge

After 25% but within first 50% of program (Lessons 3 Third day): 50% less cancellation charge

After 50% but within first 75% of program (Lessons 4 Fourth day): 25% less cancellation charge

After 75% (Lesson 5 Fifth day) No Refund

Students grievance procedure: Any grievance from a student can contact Oquirrh Mountain Phlebotomy school directly
By emailing office@oqmps.com The issue will be looked at by the school and respond to the student through email or by phone.

Student Complaints: Attempting to resolve any issue with the school first is strongly encouraged. Complaints may be filled 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 at http://highered.colorado.gov/dpos, 303-862-3001.

Postponement of a starting date, Any postponements at the request of Oquirrh Mountain Phlebotomy School or the student, will require a written agreement signed by the student and the school. In this written agreement there will require an explanation on the postponement or reason of the change of the original start date from Oquirrh Mountain Phlebotomy School or the student and a deadline for the new start date.

If the course is not commenced, or the student fails to attend by the new start date set forth in the agreement, the student will be entitled to an appropriate refund of prepaid tuition and fees within 30 days of the deadline in accordance with the school’s refund policy and all applicable laws and rules concerning the Private Occupational Education Act of 1981.

Facilities: The school is located at 3333 S. Bannock St suite B100 Englewood CO 80110. Our classrooms are furnished with tables and chairs. Supplies provided by the school and teaching aids/videos to enhance classroom experience. Bathrooms are on site for students to use. Parking is also available outside the building. Teaching aids that are included: Video, Hands on instruction. Lectures, Applied phlebotomy textbook, Practice fake arms.

When an unexpected closure occurs due to extraordinary conditions such as inclement weather, students will be notified as soon as possible by phone and/or radio, and/or TV who provide closure information as a public service. Classes are not held on the following holidays:
New Year’s Eve Labor Day New Year’s Day Thanksgiving Day & the Friday following

Memorial Day Christmas Eve Independence Day Christmas Day

Phlebotomy Begin Date:
Start Date 06/26/2023 End Date:06/30/2023 2:00pm-5:00pm or 6:00pm-9:00pm
Start Date 07/24/2023 End Date:07/28/2023 2:00pm-5:00pm or 6:00pm-9:00pm
Start Date 08/28/2023 End Date:09/01/2023 2:00pm-5:00pm or 6:00pm-9:00pm
Start Date 09/25/2023 End Date:09/29/2023 2:00pm-5:00pm or 6:00pm-9:00pm
Start Date 10/23/2023 End Date:10/27/2023 2:00pm-5:00pm or 6:00pm-9:00pm
Start Date 11/13/2023 End Date:11/17/2023 2:00pm-5:00pm or 6:00pm-9:00pm
Start Date 12/11/2023 End Date:12/15/2023 2:00pm-5:00pm or 6:00pm-9:00pm

IV Begin Date:
Start Date 06/17/2023 End Date: 06/17/2023 10:00am-2:00pm
Start Date 06/24/2023 End Date: 06/24/2023 10:00am-2:00pm
Start Date 07/08/2023 End Date: 07/08/2023 10:00am-2:00pm
Start Date 07/22/2023 End Date: 07/22/2023 10:00am-2:00pm
Start Date 08/12/2023 End Date: 08/12/2023 10:00am-2:00pm
Start Date 08/25/2023 End Date: 08/25/2023 10:00am-2:00pm
Start Date 09/09/2023 End Date: 09/09/2023 10:00am-2:00pm
Start Date 09/23/2023 End Date: 09/23/2023 10:00am-2:00pm
Start Date 10/07/2023 End Date: 10/07/2023 10:00am-2:00pm
Start Date 10/21/2023 End Date: 10/21/2023 10:00am-2:00pm
Start Date 11/04/2023 End Date: 11/04/2023 10:00am-2:00pm
Start Date 12/09/2023 End Date: 12/09/2023 10:00am-2:00pm

IV Classes are held one day per month.

Enrollment Period:Prospective students may enroll anytime. Late enrollments will be accepted only one week into the course, depending on length of the course.

Placement Assistance: Oquirrh Mountain Phlebotomy school makes no guarantee, expressed or implied, of future employment. Current law prohibits any school from guaranteeing job placement as an inducement to enroll students.

Attendance Policy: Students are expected to arrive on time for class. Students will be required to attend all 5 days of class and complete a study manual before the end date of class. 100% is required. Instructors may request your withdrawal from a course or program if absences or tardiness exceed 90%. Students can make up a class one time at no charge. If a student misses their class that is to be completed they will need to pay another deposit of $100.00 to reschedule. Re-Admittance: Students may continue the program with one year of registration.

Students who are unable to continue classes for medical reasons or severe personal problems will be required to take a leave of absence until they are able to return to class. Proper documentation will be required to substantiate a student’s withdrawal.

Progress Policy: Each student must complete all 5 days with a minimum of 25 successful blood draws and have completed the Theory textbook. Grading system is pass or fail. If you do not complete the progress policy above a student will be unsatisfactory. A student will be on probation if the 5 days of class attendance and the 25 successful blood draws are not complete. Students who are unable to continue classes for medical reasons or severe personal problems will be required to take a leave of absence until they are able to return to class. Proper documentation will be required to substantiate a student’s withdrawal.

Dismissal: Any student may be dismissed for violations of rules.A student also may be withdrawn from classes if he or she does not prepare sufficiently, neglects assignments, or makes unsatisfactory progress. The director, after consultation with all parties involved, makes the final decision. A student's behavior is very important in taking this class if for any reason a student is violent towards another student or the instructor or disruptive in any way and has had three written warnings they will be removed permanently from the program/course and no longer be able to participate in the program.

Re-admission: Students can be readmitted to the IV or Phlebotomy program for any reason except for dismissal violations.

Probation Policy: A student's behavior is very important in taking this class if for
any reason a student is violent towards another student or the instructor or disruptive in any way and has had three

warnings they will be removed permanently from the program/course without refund or their certificate of completion.

Conduct Policy: Any student may be dismissed for violations of rules.A student also may be withdrawn from classes if he or she does not prepare sufficiently, neglects assignments, or makes unsatisfactory progress. The director, after consultation with all parties involved, makes the final decision. A student's behavior is very important in taking this class if for any reason a student is violent towards another student or the instructor or disruptive in any way and has had three written warnings they will be removed permanently from the program/course and no longer be able to participate in the program.

Occupational Objective: Oquirrh Mountain Phlebotomy School LLC will help you learn the basics to drawing blood and receive your certificate for employment as a phlebotomist.

Description of each approved educational program:

Phlebotomy Course Occupational Objective: Oquirrh Mountain Phlebotomy School LLC will help you learn the basics to drawing blood and receive your certificate for employment as a phlebotomist.

In the 32 hour phlebotomy program there will be lectures and hands-on phlebotomy procedures practice video’s of phlebotomy field instructions and quizzes. Each student must complete a study manual by the end of the last day at home as part of the hours of completing the phlebotomy program. The grading for this course is either pass or fail. Students will need to have 25 successful blood draws or more by the last day of class. By passing the student will then receive a certificate of completion. If these requirements are successfully met the student will receive his/her certificate of completion.

IV Course Occupational Objective: You will learn the basics in performing IV’s and being confident in your career.

Phlebotomy Tuition $475 IV Tuition $225
Fees 0.00

Phlebotomy course Length of Program: 32 hours total. 17 theory hours and 15 lab hours.
IV Course length/hours 4 Hours total 1 theory hour and 3 lab hours. Each course is offered 1 saturday a month

January- December
Mid afternoon phlebotomy class: Monday through Friday 2:00pm- 5:00pm

Evening Phlebotomy class: Monday through Friday 6:00pm – 9:00pm. Credit Hours: no credit hours are provided.
Method of Delivery: Classroom and Theory

Prerequisites: You must have your High school diploma or a General Education Development certificate and be 18 or older to be accepted into the phlebotomy course. And this Enrollment agreement must be signed.

Additional cost to the student of makeup hours. Students can make up a class one time at no charge. If a student misses their class that is to be completed they will need to pay another deposit of $100.00 to reschedule.

Previous Training / Credits: Credit will not be given for previous education or experience.
The school does not guarantee the transferability of its credits to any other institution unless there is a written agreement with another institution.

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Signed by OQUIRRH MOUNTAIN PHLEBOTOMY SCHOOL
Signed On: September 12, 2023


Signature Certificate
Document name: Enrollment Agreement - Oquirrh Mountain Phlebotomy School LLC - Colorado - IV
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September 11, 2023 7:19 pm MDTEnrollment Agreement - Oquirrh Mountain Phlebotomy School LLC - Colorado - IV Uploaded by Oquirrh Mountain Phlebotomy School - office@oqmps.com IP 208.38.200.129
September 11, 2023 7:19 pm MDT Document owner legal@oqmps.com has handed over this document to office@oqmps.com 2023-09-11 19:19:54 - 192.241.203.29
September 12, 2023 11:07 am MDTAllison Szabelski - allison.szabelski1975@gmail.com added by Oquirrh Mountain Phlebotomy School - office@oqmps.com as a CC'd Recipient Ip: 208.38.200.129
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