1:1 Payment Options

Payment Options

10-hour pack are valid from time of purchase through May 31, 2026
One-on-One Sessions

Students that participate in our 1:1 sessions will receive personalized, explicit, and multisensory instruction. This programming is ideal for students that need intense 1:1 support to improve reading, writing, spelling, executive functioning, math, or speech/language needs.

Ideal for learners of all ages (PreK to Adult)

Location Options: In-Person, Virtual, Possible Off-Sites (schools, homes, etc.)

Session Focus:

Choose From ->

Intervention,Therapy, Academic Support - Session focus includes Reading Intervention Therapy, Orton-Gillingham Approach (reading/spelling), Speech/Language Therapy, Occupational Therapy, Executive Functioning Coaching, Academic Support, Multisensory Math, Written Expression Support, and Educational Therapy - $115/hour

Please note that instructional sessions are approximately 50-minutes with time for communication follow up.

Current Families:

Scheduling:

You will work directly with your assigned specialist to determine your summer schedule.

Pre-Pay Discount Pack:

Save 10% when you pre-pay for a full 10-hour pack.

10-hour discounted prepay packs may be purchased anytime throughout the school year, as long as the pack is purchased before completed sessions. Discount will apply for completed sessions between August 5, 2025 - September 30, 2026.

Packs are NOT automatically reoccuring. If you would like to have 10-hour packs automatically purchased you must notify us by calling our bookkeeper, Lori (407-636-9281) or emailing info@engagethebrain.org. Credit card information is NOT saved through this submission.

Cancelation Policy: Twenty-Four (24)-hour notice is required to avoid full charge for sessions. You may email, text, or phone call your specialist to cancel sessions. Or, you may email (info@engagethebrain.org), phone (407-636-9281) or text (407-310-9583) to cancel sessions.

Termanation of Services: We require a 2-week notice when terminating services. Funds are refundable, minus $35 processing fee, plus any difference of receiving discount, if requested by email (info@engagethebrain.org).
Questions?

If you need assistance with this form or have questions about any of our summer selections, please feel free to contact us:

Office: 407-636-9281 (voice)

Voice/Text: 407-310-9583

Email: info@engagethebrain.org

Click the link to set up a free 20-minute phone/zoom consultation.

Check out our website: www.engagethebrain.org

General Info
Student Name*

First NameLast Name
My learner:

is assigned a learning specialist.is waiting to be assigned a learning specialist.I am not sure.

Primary Contact Information
Parent/Guardian Name

First NameLast Name
Phone Number

Area CodePhone Number
Email
example@example.com
2nd Parent/Guardian Name (optional)

First NameLast Name
Mobile Phone

Area CodePhone Number
E-mail

Policies - Must be completed by ALL Parties
Missed Classes/Cancelations: No refunds will be issued for missed classes due to sickness, vacation, or other personal reasons. Please indicate you understand by typing your initials below. *
Purchase of a discounted 10-hour pack terms: Funds are available for discounted (10% off) EtB 1:1 services through May 31, 2026. Any remaining funds will be available for any EtB service at a non-discounted price.To request a refund of remaining funds please notify EtB in writing (info@engagethebrain.org) within 60 days of last day of service. A $35 processing fee will be deducted from any refund. All remaining funds will be forfeited after 60 days. Please indicate you understand by typing your initials below. *
SICKNESS: Any person with signs of sickness, including, but not limited to fever, running nose, coughing, sore throat, or body aches should not come to EtB. This is regardless of a negative testing (covid, flu, etc). Students may be offered the option to join the session virtually due to this type of situation. Please indicate you understand by typing your initials below. *
Engage the Brain will do their best to provide a healthy and clean environment. Please indicate you understand by typing your initials below. *

Signature & Payment
By signing and submitting this registraiton form, you understand and agree to all policies.

Once you click "Register" you will be redirected to pay the registration fee. You may use your credit/debit card or PayPal account to pay the fee.

This is a ONE-TIME PAYMENT. Your credit card will NOT be saved. Once funds are depleted we will charge session by session with the credit card we have on file. To have us automatically charge your card for an additional discounted 10-hour pack you must call the office 407-636-9281 or email us info@engagethebrain.org to provide this approval.

Please contact Lori, our bookkeeper, with any quesitons. 407-636-9281. info@engagethebrain.org
Acknowledgement: Parent/Guardian Print Name*

First NameLast Name
Signature*

Clear
Today's Date*

MonthDayYear

For Classes: PAYMENT IS REQUIRED AT TIME OF RESERVATION. If you are using FES-UA Scholarship, enter the coupon code SUMMERFES. Invoice must be approved upon notice.

Discount 10-hour pack 1:1 Intervention or Therapy$1,035.00

DISCOUNTED 10, one-hour sessions in 1:1 setting working with an Engage the Brain Learning Specialist or Speech/Language Pathologist. Includes all of Engage the Brain 1:1 services.

Quantity

Enter coupon

Total $0.00

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

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