Date: Format: mm/dd/yyyy
Student Name (required) Student Email (required) Additional Student Name Additional Student Email Name of Parents (required) Street Address (required)
City (required)State (required)Zipcode (required)
Home Phone (required)
Emergency Contact (required) Emergency Phone (required) Relationship (required)
Client grants permission to communicate via phone/text/email in regard to any activity related to Valencia Tutors Learning Center services.
I Agree
Course 1(required) Fall Section Section #1 • Aug 24 – Dec 4Section #2 • Sept 7 – Dec 18Section #3 • Oct 5 – Dec 11 Spring Section Section #1 • Jan 25 – May 7Section #2 • Feb 8 – May 21Section #3 • Mar 1 – May 21
Course 2 (optional) Fall Section Section #1 • Aug 24 – Dec 4Section #2 • Sept 7 – Dec 18Section #3 • Oct 5 – Dec 11 Spring Section Section #1 • Jan 25 – May 7Section #2 • Feb 8 – May 21Section #3 • Mar 1 – May 21
*Section choice/time is dependent on availability and will be confirmed through communication with the office.
Courses are not open ended and must be paid in full before a course completion notice is generated and made official. Students who do not complete a course are financially responsible for all course fees. Courses must be paid in full once a student is enrolled. Courses start when the first payment is made. The courses may not be dropped. There are no refunds.
Signature: Date: Format: mm/dd/yyyy
Payment Plans are available. Please contact the office.
Additional Fees - Lost books will need to be replaced at the cost of the student. Make-up sessions incur an additional fee due to missed classes without communication with the office
I hereby authorize Valencia Tutors Learning Center to charge my credit card for payment and/or default in payment.
Course Completion Notices must be signed for by the parent or student.
All services must be paid in full BEFORE Course Completion Notices are released.
Final payment may be paid in cash or by credit card ONLY.
By enrolling my student in Valencia Tutors’ courses, I am agreeing to the terms mentioned above for course completion, payment, and release of completion notices.
