CLASS REGISTRATION

Student / Parent Information

If you would like to register your student for a class with us, please complete the form below.

If your desired class is full, feel free to join our waitlist by clicking here.

Select Your Students Desired Class(es):

Early Education in Literacy - Monday mornings - ages 4-5 - $70.00

Early Education in Literacy - Friday afternoons - ages 4-5 - $70.00

Foundational Reading Skills - Monday afternoons - ages 5-9 - $98.00

CLASS FULL - Multiplication Math Facts - Tuesday afternoons - ages 7-10 - $98.00

CLASS FULL - Reading Comprehension - Tuesday afternoons - ages 8-11 - $98.00

CLASS FULL - Foundational Reading Skills - Wednesday afternoons - ages 5-9 - $98.00

CLASS FULL - Multiplication Math Facts - Thursday afternoons - ages 7-10 - $98.00

CLASS FULL - Foundational Reading Skills - Thursday afternoons - ages 5-9 - $98.00

CLASS FULL - Foundational Reading Skills - Friday mornings - ages 5-9 - $98.00

Student's Name

Student's Preferred Name

Student's Birthday

Student's Age

Current Grade Level

Student's Home Address

Parent / Guardian's Name

Parent's Phone Number

Which contact method do you prefer?

Text

Call

Parent's Email

Your Student Attends

Homeschool

Public School

Private School

Student Not in School

School Name

Does the Student Have an IEP, ISP, or 504 Plan?

504 Plan

IEP

ISP (Private / Parochial School)

None of Those Apply

Student's Designated IEP Area of Eligibility:

Please explain reason that 504 / IEP was implemented, areas of struggle, etc.

Please list accomodations, if known. If unknown, type "unsure".

Thanks for submitting! We will be in touch to confirm your registration.

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