SySTEM Education Registration Form

SYSTEM Academic Enrichment 2026-2027 Tutoring Registration

We are excited to offer personalized tutoring and academic enrichment services for the 2026 -2027 school year, designed to help students strengthen foundational skills, build confidence, and achieve academic success. Our tutoring programs provide targeted engaging tailored to each student's individual learning needs. Whether your child needs additional academic support, reinforcement of essential skills, or opportunities for advanced learning, SySTEM Education is committed to helping every learner reach their full potential. Proudly STEP Up Approved! 500 NE 26th St. Wilton Manors, Fl 33305

My Products

Homework Help Club

3-5 Students includes homework completion, organizing, reading practice, and math fact reinforcement. 45minutes

$20.00 # of Students

Small Group Academic Tutoring

3-5 Students Targeted reading, math, writing, and Florida B.E.S.T standards support. 45 Minutes

$35.00 # of Students

Private Tutoring

Personalized reading & math tutoring that builds skills, confidence, and a strong foundation for school success. One 60-minute session. Call to schedule your time slot. We are Step up Approved

$60.00 # of Students

Subtotal

Tax

Total

Credit Card

Student Information
SySTEM Education Registration

Inspiring Young Minds for a Sustainable Future!
Grade Level
Student Name

First NameLast Name
Parent Name

First NameLast Name
Parent/Guardian Information
In case of emergency, the Parent/Guardian will be contacted based on the information below:
Primary Phone Number
Format: (000) 000-0000.
Email
example@example.com

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Homework Help Club
Small Group Tutoring
Private Tutoring
Date Signed

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Parent/Guardian Signature
Should be Empty:

SYSTEM Academic Enrichment 2026-2027 Tutoring Registration

My Products

Credit Card

Student Information

SySTEM Education Registration

Parent/Guardian Information