Registration Form

Parent Name

Student Name

Parent Email

Student Email

Parent Phone

Student Phone

Challenge Level

Date of Birth

Community Day

Time Zone

Tell me about your student

Challenge A Classes

Monday (1:00 - 2:00 pm EST)

Wednesday (10:40 - 11:40 am EST)

Challenge B Classes

Monday: 2:00 - 3:00 pm EST

Thursday: 11:30 - 12:30 pm EST

Challenge 1 Classes

Monday: 9:30 - 10:30 am EST

Wednesday: 1:00 - 2:00 pm EST

Challenge 2 Classes

Monday: 10:45 - 11:45 am EST

Wednesday: 12:00 - 1:00 pm EST

Challenge 3 Class

Thursday: 12:45 - 1:45 pm EST

Class times don't fit our schedule. Please contact me with additional options.

Challenge A

Challenge B

Challenge 1

Challenge 2

Class Times Offered Do Not Fit My Schedule. My Preferred Days & Times Are:

Product

Live Tutoring Class $375

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