Discount Acknowledgment Form
This form must be completed to receive a promotional discount on tutoring services. By submitting this form, you acknowledge the terms of the discount, including the standard rate that will resume after the promotional period ends.
Client & Student Information
Client Name
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First Name
Last Name
Email Address (for confirmation & coupon delivery)
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example@example.com
Phone Number (for text message delivery, if preferred)
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Please enter a valid phone number.
Student Name
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First Name
Last Name
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Discount Details
Please select the discount that you would like.
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Starter Session Special: New K–12 students may receive 50% off one individual trial session prior to enrollment. This offer is valid for first-time students only and may be used once per student. Discount expires March 1st.
SAT Group Prep Discount: Enjoy SAT Small Group sessions offered at a discounted rate of $50 per class (regular group rate is $65 per session). Discounted pricing applies to students enrolled in a full 9-week SAT group session and is not available for individual or partial enrollment.
Back-to-Routine Bonus: Former students who have not attended a session within the last four months (as of February 5th, 2026) and rejoin tutoring will receive a $170 account credit applied to their second week back. This offer applies to students who resume a consistent weekly tutoring subscription and may be used once per student upon re-enrollment.
I understand that this discount cannot be combined with other promotions, offers, or credits.
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I understand
I confirm that I meet the eligibility requirements for this promotion as stated in the offer.
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I confirm
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Acknowledgment & Terms
I understand that this discount is valid only for the stated promotional period and that after the end date, the standard rate will automatically resume.
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I understand
I acknowledge that I will receive my discount code via the email or phone number provided above.
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I acknowledge
I confirm that I am the authorized account holder and am submitting this request as the parent/guardian of the Perfect Choice Study Buddy student.
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I confirm
I agree to the terms and conditions of this promotion.
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I agree
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Preferred Delivery Method for Coupon Code
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Email (sent to the email address provided above)
Text Message (sent to the phone number provided above)
Client Signature
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