CLC Enrollment Form
Thank you for your interest in CLC
Please sign-up via our new enrollment form here:
https://clcsummit.app.neoncrm.com/forms/enrollment-form-1
Parent & Student Information:
Student Legal Name
*
First Name
Last Name
Has your student attended CLC in the past 3 years
Yes
No
Other
Student Preferred Name
Student Preferred Pronouns (Optional)
Student Date of Birth
-
Month
-
Day
Year
Date
What year is your child expected to graduate highschool?
(Optional) Does your child have any allergies, medical conditions, or special needs we should be aware of to ensure their safety and comfort?
Parent/Legal Guardian Name
*
First Name
Last Name
Parent Email (This is how we will send scheduling information and Invoices)
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Preferred Method of Communication
*
Email
Call
Text
Other
Mailing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Optional: Add additional Parent/Guardian
Would you like both parents/guardians to receive all email communications?
*
Yes
No
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Student Information
Student's Current School
*
Please Select
Breckenridge Elementary
Dillon Valley Elementary
Frisco Elementary
Homeschool
Silverthorne Elementary
Summit Cove Elementary
Upper Blue Elementary
The Peak School
Summit Middle School
Snow Peaks High School
Summit High School
Student Grade
*
Please Select
K
1
2
3
4
5
6
7
8
9
10
11
12
University
Other
Student Learning Format
In Person
Remote
Preferred Tutoring Format
*
In Person
Remote
Optional Test Scores(CMAS, STAR, ETC)
While test scores are not required for enrollment, sharing your student’s recent assessment results—such as CMAS, STAR, or other standardized tests—can help us better understand their academic strengths and needs. If available, please include scores or summaries in core subjects like reading, writing, and math. This information allows us to create a more personalized and effective learning plan for your student.
How would you describe your student’s most recent performance in MATH?(If known, please select the level that best matches their most recent test results.)
Exceeded expectations
Met expectations
Approached expectations
Partially met expectations
Did not yet meet expectations
Not sure / I don’t have this information
Prefer not to share
How would you describe your student’s most recent performance in LANGUAGE ARTS?(If known, please select the level that best matches their most recent test results.)
Exceeded expectations
Met expectations
Approached expectations
Partially met expectations
Did not yet meet expectations
Not sure / I don’t have this information
Prefer not to share
Please upload any files related to your student's learning (upload IEPs or 504s on next page)
Browse Files
Test scores, relevant class information, current projects
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Preferred Start Time (Can be multiple)
Before School (6am - 7am)
During School Hours (8am - 2pm)
3:30pm
4:30pm
5:30pm
6:00pm or later
Other
Preferred Tutor (Optional)
Please Review our Policies and sign below:
Photo/Video Release ConsentWe love celebrating our students and sharing the great work happening in our programs! With your permission, we may use photos or short videos of your student on our social media channels, website, newsletters, or promotional materials. Names and personal information will never be shared.Please indicate your preference below:
*
Yes, I give permission for my student’s image to be used for marketing and promotional purposes.
No, I do not give permission for my student’s image to be used.
Signature
*
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If your student has an IEP or 504 plan please fill out this page:
If your student does not have an IEP or 504 you can skip this page
My student has:
Please Select
IEP
504 Plan
My student is currently being evaluated for an IEP or 504 Plan
I am interested in support pursuing an IEP or 504 Plan for my student
My student does not have an IEP or 504 Plan
Upload Plan here (if finalized)
Browse Files
Cancel
of
Is there anything else you would like us to know about your student's IEP or 504 plan?
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Demographics
This information helps us better understand the communities we serve (e.g., grant reporting, tailoring services, and demographic tracking) Providing this information is optional.
Please select the race/ethnicity that best describes your child.
White/Caucasian
Hispanic/Latino
Asian
Native American or Alaska Native
Prefer not to disclose
Other
Does your family receive or qualify for reduced or free lunches?
Yes
No
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How did you hear about us?
Google
Word of Mouth
Social Media
School Referral
Community Event (ex. First Friday, School fair)
Other Non-profit
Other
Would you like to join our mailing list for monthly newsletter and special offers?
Yes, sign me up!
Would you like information about our scholarship/discounted tutoring program? (Availability is limited and based on income, demographics, and academic need)
Yes
No
Other
Submit
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