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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Power Start: Free 40-minute consultation for new families.One per student, consultation form required, and a card on file is needed to hold your spot. Valid from November 4th, 2025-December 4th, 2025.
Consistency Counts: Complete six consecutive weeks of tutoring and receive $170 off your seventh week. Applies to any new student with a consistent weekly schedule of two or more sessions per week.
Group Tutoring: Join Study Buddy’s group tutoring programs before December 4th and lock in the $30 rate for your first month. This applies to ELA, Math, and Conversational Spanish group sessions only. Regular group rate resumes after the first month.
Free Consultation Terms: I understand this offer is limited to one free consultation per student and requires the consultation form to be completed. I agree to keep a credit card on file to reserve the spot, and acknowledge that a $50 fee will apply if I no-show or cancel within 24 hours of the confirmed consultation. I understand this offer is available for new students only, defined as students who have not received any Study Buddy tutoring sessions within 60 days prior to November 4, 2025.
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I understand
Consistency Counts Terms: I understand this discount applies only after six consecutive weeks of active tutoring. I must maintain the same weekly schedule for the full six weeks to receive $170 off Week 7. If sessions are skipped, paused, or cancelled prior to completion, the credit will not apply. I understand this offer is available for new students only, defined as students who have not received any Study Buddy tutoring sessions within 60 days prior to November 4, 2025.
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I understand
Holiday Group Tutoring Terms:I understand this special applies only to group tutoring sessions booked before December 4th at the $30 rate. For current students, group tutoring must be added to their existing schedule as of November 1, 2025, and cannot be used to replace or modify any current sessions. To qualify for the special rate, the original schedule must remain active during the group tutoring sessions. After January 1, the regular group session rate of $45 will automatically apply.
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I understand
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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