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)
Client grants permission to communicate via phone/text/email in regard to any activity related to Valencia Tutors Learning Center services.
Valencia Tutors requires a credit card on file while services are being rendered.
Preferred Forms of Payment
• Cash, Check, Master Card/Visa, On-Line Intuit
Credit Card Information
✓ Credit Card Information must be entered before services begin
✓ Credit card information is securely entered via Quickbooks
✓ All credit card information is blocked with the exception of the last four digits
I hereby authorize Valencia Tutors Learning Center to charge my credit card for payment and/ or a default in payment (cash/check/intuit payment not made). I understand that there are no refunds. I will give a two-week advance notice to Valencia Tutors if payment changes. I understand that a late fee of $35 will be added to my invoice if payment is not received by the 5th of the month.
REFUNDS There are no refunds for rendered services.
All make-up sessions must be completed 30 days from original appointment.
No rollover make-up sessions from the previous academic year.
Unused make-up time may not be used as credit.
Your student and teacher have a scheduled appointment. Attendance is crucial to maintain the highest standards of instruction.
If an appointment is missed and a make-up is necessary, please contact us within 24 hours of the appointment time to reschedule. If Valencia Tutors is not notified the session may not be made-up and is charged in full. Please be advised that make-ups may not be used for account credits or used as an exchange for a regularly scheduled appointment. Make-ups must be utilized on a separate day or time from the standing appointment.
Your child’s appointment stands regardless of their daily homework needs. Not having homework is not an acceptable reason for cancellation and a make-up session will not be permitted due to “no homework.” In the case of “no homework” student’s appointment time focuses on skill advancement and review.
“We appreciate your understanding of this very important policy that supports education success for your student!”
Laura Lorenze - Director, Valencia Tutors Learning Center
M • 8:00am – 4:00pm
T • 8:00am – 4:00pm
W • 8:00am – 4:00pm
Th • 8:00am – 4:00pm
F • 9:00am – 2:00pm
S • CLOSED
M • 9:00am – 5:00pm
T • 9:00am – 5:00pm
W • 9:00am – 5:00pm
Th • 9:00am – 5:00pm
F • 9:00am – 3:00pm
S • CLOSED
Laura Lorenze M.Ed|ICAC – Administrator
26509 Carl Boyer Dr. Santa Clarita, CA 91350
CONTACT | 661-259-7160