Academic Group 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
Email
Mobile Phone
Address
City
State
Zip
Credit Card Details
Please note that a 3% service charge will be applied to all card transactions.
Group Academic Charge Agreement
I agree that my payment method will be charged $85/hour for each group academic lesson.
Recurring Payment Authorization
I authorize Total College Prep (TCP) to charge my selected payment method for recurring payments based on my chosen billing plan. I understand that card payments include a 3% processing fee. A receipt will be emailed for each payment. No prior notice will be sent unless the payment amount or date changes, in which case I will be notified at least 10 days in advance. This authorization remains in effect until I cancel it in writing. I agree to notify TCP of any changes to my payment method or to cancel this authorization at least 15 days before the next scheduled payment. If a payment date falls on a weekend or holiday, it may be processed on the next business day.
Academic Group Class Billing
I understand that group academic lessons are scheduled and billed monthly in advance. I will be charged for the full month at the beginning of each month, or a prorated amount if I join mid-month. I may cancel future months at any time by notifying Total College Prep before the start of the next month.
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
First Name
Last Name
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?
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