Enrollment — Strive Learning Center

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Parent / Guardian Information

First Name *

Last Name *

Email Address *

Phone Number *

How did you hear about us?

Student Information

Student First Name *

Student Last Name *

Current Grade *

School Name

Subject(s) Needed *

Mathematics (Algebra, Geometry, Pre-Calc, Calculus)

English & Reading

Writing & Essay

Science (Biology, Chemistry, Physics)

SAT / ACT Test Prep

Preferred Days

Mon

Tue

Wed

Thu

Fri

Sat

Preferred Time of Day

Morning

Afternoon

Evening

Academic Concerns or Goals

Student Information

Student First Name *

Student Last Name *

Student Date of Birth *

Current Grade *

Primary Subject Focus *

Emergency Contact Name *

Emergency Contact Phone *

Preferred Drop-off Time

Additional Notes

Review Your Enrollment

Selected Package

Plan—

Price—

Due Today$100 deposit

Type—

Your Details

Parent—

Email—

Phone—

Student—

Grade—

Subject(s)—

What happens next: Pay your $100 deposit below to hold your spot — card, Venmo, cash, or check. This deposit is rolled into your first month's payment.

Liability Waiver * ▼

I understand that Strive Learning Center is not liable for any injury, loss, or damage during sessions. I agree to hold Strive Learning Center harmless from any claims arising from my child's participation.

Cancellation & Refund Policy * ▼

Deposits are non-refundable. Cancellations 7+ days before the first session receive a full refund (minus the deposit). Cancellations 3–6 days before receive a 50% refund. Cancellations on the day of or after the first session are non-refundable. Credit card refunds are subject to a 3% processing fee. In cases of illness or unavoidable circumstances, partial refunds may be considered with documentation (subject to center approval). Make-up sessions may be scheduled for missed classes, subject to center approval.

Payment Terms * ▼

I agree to pay the full balance by the due date and authorize Strive Learning Center to charge the payment method on file per the agreed schedule.

SMS & Email Consent * ▼

I consent to receive SMS and email communications from Strive Learning Center regarding enrollment, scheduling, and updates. Message and data rates may apply. Reply STOP to unsubscribe.

Parental Consent * ▼

I confirm I am the parent or legal guardian of the student being enrolled and consent to the collection of my child's information per our Privacy Policy.

Your Details

Enrollment received!