Parent Name *

First Name

Last Name

Phone

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Student Name *

First Name

Last Name

Agreement

Please check each box as an acknowledgement that you have read and agree to the following terms.

I give my permission for AW Academics to complete a learning assessment and/or academic coaching with my child.

I agree to pay for services with 24 hours of completion of services. For recurring services, payment is due weekly.

If there is a need to reschedule, reach out via email at least 24 hours before. Cancellation notice less than 24 hours in advance will result in a $25 service fee.

Payment options: Cash, Check (made out to: AW Academics), Venmo @AWAcademics.