Financial Responsibility Agreement Date* TERMS OF AGREEMENT*Click each checkbox indicating that you understand and agree to the terms. TERMS OF AGREEMENT At Virginia Baptist College, the payment of tuition and fees becomes an obligation at the time of registration. This contract documents the student’s agreement to pay all tuition and associated fees for any semester in which the student registers for courses. Please read the following terms and conditions carefully. If you have any questions, please contact the Business Office at 540-785-5440. The student agrees to pay his/her obligations to Virginia Baptist College (hereinafter referred to as “the College”) in accordance with the following: This Agreement will continue for as long as I am enrolled at the College or any obligation remains unpaid in whole or in part. PROMISE TO PAY I understand and agree that I am obligated to pay tuition, course fees, activity fees, and other fees and charges incurred by me as a student at the College. I will pay all fees under the Standard Payment Plan. PAYMENT PLAN Under the Standard Payment Plan, I will pay all fees owing by November 20 of the current year for fall semester and April 20 for spring semester. I will pay any charges incurred later in the term by the due date indicated on the billing by the College. I will pay a late payment fee of $25 on any amount not paid when due. LATE FEE I will pay a late payment fee of $25 for each late payment. PREPAYMENT I may prepay any amounts at any time without a prepayment penalty. However, partial prepayment will not excuse me from making the full amount of each payment on schedule until my account is paid in full. TELEPHONE AUTHORIZATION I authorize the College and their respective agents and contractors to contact me regarding my tuition account at the current or any future number for my cellular phone or other wireless device using automated telephone dialing equipment or artificial or pre- recorded voice or text messages. I understand that I will be responsible for charges that may result from such communication to a wireless phone number. DEFAULT/COLLECTION REMEDIES I will be in default if I do not make payments when due under this agreement (including my failure to pay due to insufficient funds in an account upon which my payment was drawn). If I am in default, the College may require immediate payment of all amounts owing under this agreement, including any finance charges. The College has the right to take steps to collect the balance including but not limited to the following terms: withholding course credits, academic transcripts and diploma until the balance is paid; turning over the student’s account to a collection agency; and taking legal action to collect the balance due. The student authorizes the College to release financial information about his/her account to any party authorized by the College to collect the balance due. In the event the College incurs expenses in collecting the balance due, the student agrees to reimburse the College the fees of any collection agency, which may be based on a percentage at a maximum of 40% of the debt. This includes, but is not limited to, collection agency fees, reasonable attorney’s fees, and court fees. BANKRUPTCY Virginia Baptist College is a nonprofit institution of higher learning. As such, my obligation will be deemed to be for the sole purpose of financing an education and is not dischargeable in bankruptcy proceedings. AUTHORIZATION TO CONTACT PARENT/GUARDIAN I understand that I must complete the FERPA consent before the college can contact and share financial information with my parent/guardian regarding financial matters. NOTICE OF CHANGES I will notify the College immediately of any change in my name, address, telephone number, or Social Security Number. The College reserves the right to modify the terms and conditions of this agreement at any time by notifying me in advance. BILLING INQUIRIES If I believe information on my billing statement is incorrect, I must notify the Business Office in writing or by phone within 60 days of the notice detailing the information believed to be incorrect. GOVERNING LAW This agreement shall be subject to the laws of the Commonwealth of Virginia. Any dispute arising under this agreement shall be venued in the district court in Spotsylvania County, Virginia.SIGNED AGREEMENT*By typing my name below, I agree to all the terms listed above. This iframe contains the logic required to handle AJAX powered Gravity Forms.