Learner Sign Up

Empower Your Child to Learn, Grow, and Thrive Because Every Child Deserves a Chance to Succeed.

Every child deserves support, guidance, and belief in their potential; we’re here to provide all three.
Parent/Guardian Information
Full Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email Address*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Preferred Method of Contact:*

TextCallEmail
Relationship to Student*
(Parent, Guardian, etc.)
Is there another parent or guardian we should include in communication?

First NameLast Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Learner Information
Learner’s Full Name*

First NameLast Name
Learner’s Age & Grade Level*
School Name*
Subjects or Areas Where Help Is Needed (check all that apply)*

MathELAScienceTest Prep (SAT, ACT, and IELTS)Study Skills and Homework HelpEarly Learning Programs (Pre-K to Grade 2)French or Spanish

Preferred Tutoring Days & Times*

	From	To
Monday
Tuesday
Wednesday
Thursday
Friday

Has your child received tutoring before?*

YesNo
What motivates your child best?*
(e.g. praise, visuals, challenges, games)
Are there any learning styles that work best for them? *
(Visual, hands-on, verbal, etc.)
Does your child have any special needs or learning accommodations we should be aware of?*
Tutoring Goals & Expectations
What are your main goals for your child’s tutoring sessions?*
(e.g. improve grades, gain confidence, prepare for tests, strengthen fundamentals)
Are there specific skills or topics you’d like tutors to focus on?
All sessions are virtual, does your child have access to a reliable device and internet?*

YesNo
Would you like to be updated on your child’s progress regularly?*

WeeklyMonthlyAs needed
Are you interested in group tutoring or one-on-one only?*

Group Tutoring (2-3 learners)One-on-one
Any additional notes or information you’d like to share about your child?
Would you be interested in parent workshops, student events, or community updates?*

YesNo
Would you like to volunteer or get involved in the program in other ways?*

YesNo
Photographic & Parent Release

By signing below, I confirm that the information provided is accurate. I also give AMAJJ, LLC permission to take photographs or video recordings of my child for program documentation and positive promotion on social media or other platforms. I understand these images will be used respectfully to highlight the impact of our tutoring program.
Parent Signature*

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“Together, we’re not just improving grades; we’re building confidence, character, and a love for learning. Every child deserves to ‘Be The Best They Can Be’. Thank you for giving yours the opportunity to do so.”

- MT HOLMES, CEO/FOUNDER
Should be Empty:

Empower Your Child to Learn, Grow, and Thrive Because Every Child Deserves a Chance to Succeed.

Parent/Guardian Information

Learner Information

Tutoring Goals & Expectations

“Together, we’re not just improving grades; we’re building confidence, character, and a love for learning. Every child deserves to ‘Be The Best They Can Be’. Thank you for giving yours the opportunity to do so.”