ENROLLMENT FORM
Student Name *
Student Name
If during summer, enter rising grade.
Primary Contact
Name *
Name
Phone *
Phone
Address *
Address
Secondary Contact (optional)
Name
Name
Phone
Phone
Siblings
* If you would like us to make sure you get relevant updates about coming deadlines for your other children too, please fill out these sibling fields!
Student #2
Student #2
If during summer, enter rising grade.
Student #3
Student #3
If during summer, enter rising grade.
PAYMENT AUTHORIZATION
TA sessions are always one-on-one, either in your home or online via the TA portal. TA tutors are responsible for scheduling all sessions in collaboration with parents and students. TA will email invoices every two weeks to the email address for Parent #1 and charge the provided bank account or credit card. TA bills in 15-minute increments in order to ensure flexibility of programs and sessions. TA has a cancellation rate of 0.5 hours for sessions canceled or rescheduled less than 24 hours before a confirmed session.
Payment Method *