Total College Prep - Academic Private Lesson Registration Form

Academic Private Lesson Registration Form

Welcome to Total College Prep! Let's get started by enrolling your student in our private lessons today!

First Name

Last Name

Mobile Phone

Address

City

State

Zip

Credit Card Details

Please note that a 3% service charge will be applied to all card transactions.

Cardholder Name

Card number

Academic Tutoring Payment Agreement

I agree that my payment method on file will be charged $125/hour for each private lesson.

Recurring Payment Authorization - Private Lessons

I authorize Total College Prep (TCP) to charge the payment method provided for each session. I understand that I will be charged for any lesson not canceled at least 48 hours in advance. A receipt will be provided for each payment. No prior notice will be given unless the date or amount changes, in which case I will receive at least 10 days' notice. This authorization remains in effect until I cancel it in writing, with at least 30 days’ notice before the next billing date. If a payment date falls on a weekend or holiday, it may be processed on the next business day.

Cancellation Policy - You may cancel or reschedule, at no additional cost, any session as long as you notify us at least 48 hours before your scheduled session. Your full lesson fee will be charged for cancellations made with less than 48 hours notice.

Private/Semi-Private Session Cancellation Policy

I understand that if I or my student does not cancel a lesson at least 48 hours before the scheduled time, I will be charged the full cost of the lesson.

Whom can we thank for referring you (Google, friend, organization, website, former client, etc.)?

Text Opt-In/Opt-Out

By providing your phone number, you consent to receiving text messages to confirm your lesson time/date or to communicate schedule changes. You may opt-out at any time by texting “STOP” to 972-587-5005. Message and data rates may apply.

Student information

Student

First Name

Last Name

Student Email

Mobile Phone

What school do you attend?

What subject(s) will your student be focusing on?

Is there anything about your student that we should know?

In what year will your student be graduating?

Preferred class location(s). Select all that apply.

Add Fields for Additional Student