Home
Home School
Tutoring
Music Lessons
Camps
Parents
About
Contact
Calendar
Forms
Store
Employment
Achieve Student Sign Up Form
*
Indicates required field
Student Name
*
First
Last
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Student's Current Grade (if summer grade student will enter in Fall)
*
Date of Birth
*
Parent/Guardian Name
*
First
Last
Relationship
*
Parent/Guardian Phone Number
*
Parent/Guardian Email (Please provide an email you check regularly)
*
Is it ok to text this number?
*
Yes
No
Services (Please choose all that you are interested in or apply.)
*
Individual Tutoring
Private Home School Program
Music Lessons
Academic Readiness Camp
Virtual Learning
In Person Learning
Subject Matter (Please choose all that you are interested in or apply.)
*
Reading
Writing
Math
Science
Social Studies
Piano
Voice
Guitar
ESL
Technology
Other
My child is involved in a 504 or Special Education Program.
*
Yes
No
I'm not sure
Please add additional Information Here that you would like us to know about your child.
*
By typing my name below, I acknowledge that I am beginning the sign up process for services at Achieve. I agree to be contacted by Achieve to continue the registration process before sessions begin.
*
Submit
Home
Home School
Tutoring
Music Lessons
Camps
Parents
About
Contact
Calendar
Forms
Store
Employment