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2025 Registration Form

Please Complete the steps below to ensure a smooth registration process.

Select the subject or area you’d like to enroll in
Tell us how to support you
Submit your $35 registration fee and first session payment

Once your form is submitted, an enrollment specialist will personally reach out to confirm your information and answer any questions you may have. We value your trust and are committed to protecting your privacy every step of the way. If you have any questions, feel free to contact us — we’re here to help.

Student's First Name

Student's Last Name

Student's Birthday

Month

Day

Year

Student's Grade

Student's School/University

If applicable, Parent/Guardian #1

If applicable, Parent/Guardian #2

Would you like to register another student?

Yes

Phone Number

Secondary Phone Number

Secondary Email

Address

Preferred Method Of Contact

Phone Call

Text

Preferred Session Type

Private - In Home

Private - Online

Group - Online

Desired number of sessions per week?

What is the student's current availability? Please specify specific days & times. Ex: Tuesday's and Wednesay's 4pm - 6pm EST

Preferred Start Date:

Primary Language Spoken at Home?

Tell us about the academic challenges and goals you'd like support with. This information will be shared with your tutor to help them understand how to best support you from the very first session. The more details you provide, the better! :)

Would you be comfortable authorizing Academy Corner Tutoring to communicate with others involved in your (or your student’s) education, such as teachers, school staff, or educational specialists?

How did you hear about us?

Do you have any preferences you'd like us to consider to help you feel more comfortable during sessions?

2025 Registration Form

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