New Student Enrollment Agreement
Our mission at Kumon of Liberty Hill is to empower each child with the tools and training to help them build a strong foundation of knowledge, study skills, independence & confidence. These skills will enable them to thrive academically today and positively impact their future.
Student 1 Name
*
First Name
Last Name
Student 1 Enrollment information
*
Rows
Subject(s)
Method
Student 1
Math only
Reading only
Math and Reading
Tablet Study - Kumon Connect
Paper Study
Student 1 Birthday
*
/
Month
/
Day
Year
Date Picker Icon
Student 2 Name
First Name
Last Name
Student 2 Enrollment information
Rows
Subject(s)
Method
Student 2
Math only
Reading only
Math and Reading
Tablet Study - Kumon Connect
Paper Study
Student 2 Birthday
/
Month
/
Day
Year
Date Picker Icon
Student 3 Name
First Name
Last Name
Student 3 Enrollment information
Rows
Subject(s)
Method
Student 3
Math only
Reading only
Math and Reading
Kumon Connect Tablet Study
Paper Study
Student 2 Birthday
/
Month
/
Day
Year
Date Picker Icon
Back
Next
Please select preferred class days.
*
Monday & Wednesday
Tuesday & Thursday
Please select your preferred class start time.
*
Please Select
3:00
3:30
4:00
4:30
5:00
5:30
6:00 (Monday and Wednesday only)
6:30 (Monday and Wednesday only)
Students will be in class about 30 minutes for one subject and about one hour for two subjects. The instructor will reach out if your time slot is unavailable.
Choose the date you would like your child(ren) to start Kumon study. Students may start Kumon on any class day of the month, but it is preferable to choose a Monday or Tuesday so students have two classes in their first week.
*
-
Month
-
Day
Year
Date
Please Read our New Student Enrollment Agreement. This is the same form that is in the blue folder.
I have read the New Student Enrollment Agreement and agree to abide by its terms. Parent or Guardian Name
*
First Name
Last Name
Please Read our Media Release form and opt in or out below.
Media Release Form:
*
Agree - I have read the above information and approve for my child(ren)
Do not agree - I have read the above information and DO NOT approve for my child(ren)
Parent or Guardian Signature.
*
Please sign below indicating you have read and agree to all of the above information.
Submit
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