Please Fill Out the Form to Register Your Child For

Reading Intervention Boot Camp!

Please enter YOUR information below

First Name *

Last Name *

Cell Phone *

Text Opt-In *

By checking this box I agree to receive email and SMS text communications and promotions from More To Learn Academy about 5 messages a month. SMS text and data rates may apply. I may opt out at any time by replying STOP. View Terms and Conditions at https://moretolearnacademy.com/privacy .

Email *

Address *

City *

State *

Zip code *

2nd Parent Full Name

2nd Parent Cell Phone

Child 1 Full Name *

Child 1 Date of Birth *

Child 1 Gender *

Male

Female

Child's Grade Level 2023 - 2024 *

Child 1 Allergies *

Child 1 Notes *

Add another child? *

Yes

No

Child 3 Full Name

Child 3 Date of Birth

Child's Grade Level 2023 - 2024 *

Child 3 Allergies

Child 3 Notes

Child 3 Gender

Male

Female

In addition to those listed above, the following individuals may pickup my child:

Authorized Adult 1 Full Name

Authorized Adult 1 Phone

Authorized Adult 2 Full Name

Authorized Adult 2 Phone

Authorized Adult 3 Full Name

Authorized Adult 3 Phone

To keep More To Learn Academy running smoothly, please agree to all of these policies:

I understand that after signing up, I will receive an email with access to the member's area, and I will find resources there. I understand that after I register and sign up for Reading Intervention Boot Camp, it may take More To Learn Academy up to 48 hours to send instructions on how to access the tutoring classes. I understand access to the member's area is based on the tutoring package I have chosen for my child. I understand not all tutoring packages include access to the members' area.

I understand that I am signing up for a subscription to Reading Intervention Boot Camp services, and that my card will be charged based on the session(s) I have chosen. I understand that all fees paid aren't refundable, and I can cancel anytime. I understand that cancelation, and missed sessions by either party will not result in a refund.

Online: I understand that I will need to log my child into the Zoom classroom, but I do not need to stay during class time. However, I understand that More To Learn Tutoring is not a babysitter, and that if my child is misbehaving/distracted during tutoring, the teacher will talk to me about finding a solution to help my child.

I give permission for my child’s photograph(s) and/or videotaping(s) to be used for marketing materials offline and online, newsletters, and art projects.

I agree to abide by the Policies & Procedures Handbook.

View Handbook Here: https://1drv.ms/b/s!AvmcirilkiW_7FrL8V21UP7ffYFK?e=wlu3P0

Parent Agreement *

I agree to all of the policies listed on this form.

Parent Signature

Clear

Date Signed