DIF Introduction Class
April 8 10am-11am CT
What's your name? (Person filling out the form)
What's your relationship to the student?
Would you like us to update you as we add new classes?
What's your email address?
To which email address should we send the zoom invitation?
What's your phone number? (We'll only call if there's a time sensitive class matter)
How did you hear about us?
If you were referred by a person, who was it?
We'd like to take occasional photos and videos of the class for marketing. Do we have your permission to do so?
What's your child's name?
What grade is the student currently in?
What school does the child attend?
In what city does the child live?
Is there anything we haven't asked that we should know?
( X )
DIF Introduction Class (Normal Tuition)
This is the price of the introductory class for DIF!
DIF Introduction Class (Free/Reduced Lunch)
Please note that we will require documentation of free/reduced lunch status.
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Sponsor as many students as you'd like so we can increase accessibility and provide even more scholarships!
Credit Card Details
Credit Card Number
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