Parent's Name * First Name Last Name Student's Name * First Name Last Name Child's Birthdate * MM DD YYYY Parent Email * Phone Country (###) ### #### Does your child like learning? * Absolutely Depends on what they are learning Not really How did you hear about us? * Which type of learner is your child? Listens to understand Uses sight (looking) to understand Uses movement to undestand All the above Not Sure What is your biggest concern about your child? * Thank you!
