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Enroll in PRIVATE COACHING SESSIONS

Duration: weeks, starting July 13, 2026

Price: $65

Student Information

Student's Full Name *

Student's Age *

Current Grade and School *

Student's Email

Student's Phone Number

Parent/Guardian Information

Parent's Full Name *

Parent's Email *

Payment instructions will be sent to this email

Parent's Phone Number *

Emergency Contact

Emergency Contact Name *

Emergency Contact Phone *

Additional Information

Special Needs or Accommodations

Acknowledgment

I understand that space is not guaranteed until payment is received. *
After submitting this form, you'll be directed to complete your payment via credit card or other payment methods. Your spot will be secured once payment is received.

After submitting, you'll receive payment instructions via email at the email address you provide