Homework Center Registration

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College Journey Conversations PODCAST

The Homework Center and Dedicated Coaching Registration

Parent's Name

Parent's Email

Parent's Address

Parent's Phone

Student's Name

Student's High School

Student's Year of Graduation

2021 2022 2023 2024

Student's Birthdate

Student's Email

Student's Phone

Select a Preferred Session Length:

One Hour Per Session Two Hours Per Session

Select a Service:

One-Time Visit Membership - The Homework Center Only Combo Membership - THC + Coaching

If You Selected One-Time Visit (Select One):

THC Drop-in - 1 Visit Only THC Sample - 2 Visits Only THC Six-Pack - 6 Visits Only

One-Time Visit Coaching Add-On:

Yes, I would like to add a Dedicated Coach to my One-Time Visit Service Choice. No thank you.

If You Selected Membership - The Homework Center Only (Select One)

One THC Visit Per Week for Four Weeks Two THC Visits Per Week for Four Weeks

If You Selected Combo Membership - THC + Coaching (Select One):

One THC Visit Per Week + Coaching (same day) for Four Weeks. Two THC Visits Per Week + Coaching (one of the same days) for Four Weeks. Two THC Visits Per Week + Coaching (both days) for Four Weeks.

Provide Us With Your Most Ideal Day of the Week and Best Time of the Day for Your Sessions:

Message

Book Now - Pay Later Promise Agreement

By checking this box, I am indicating my understanding of registering for these sessions and my responsibility to pay later. I further understand an invoice will be sent following the scheduling of the requested service.

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