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Small Group Class Interest Form

Hello! Please fill out the form below to be contacted about small group classes. Our team will reach out to you to either set up your class, or add you for a waitlist for small group classes!

Student Name (First, Last)

Parent Name (First, Last)

What is the best email to reach you?

Please enter your phone number

What group/small group class are you interested in? (Select all that apply)

What group/small group class are you interested in? (Select all that apply)

What grade is your child in?

What grade is your child in?
A
B
C
D
E
F

What math class is your child in?

What English class is your child in?

For SAT/PSAT/ACT, does your child have a test date? If not please select the 1st of the month in which they plan to take the exam.

What group size are you interested in?

What group size are you interested in?
A
B
C

Do you have a sibling or friend you would like to sign-up with, or are you looking to join a existing group

Do you have a sibling or friend you would like to sign-up with, or are you looking to join a existing group
A
B