Student Sign Up Form

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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) *

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 Group Classes Home School Music Lessons CSI Math Camp STAAR Boot Camp Achieve Typing! Technology Readiness Academic Readiness Virtual Learning

Subject Matter (Please choose all that you are interested in or apply.) *

Reading Writing Math Science Social Studies Piano Voice Guitar Recorder General Music Amateur Radio ESL Technology Other

Please add additional Information Here if necessary. *

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

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Home
On-Site Learning
Virtual Learning
On-Site/Virtual Hybrid
About
Calendar
Contact
Forms
Employment
Store