TLC K5 PROGRAM REGISTRATION FORM
Parent/Guardian Full Name
*
First Name
Last Name
Primary Email Address(This will be used for all program communication)
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Time Zone
Please Select
Eastern
Central
Mountain
Pacific
Other
Student Information
Student Name (this will be used on our platforms. Other parents and students will be able to see student names. Please use a nickname if you feel uncomfortable with this.)
*
Student Grade Level
Please Select
Kindergarten
1st
2nd
3rd
4th
5th
Student Age
*
Current Reading Level (if known) We will use this information to place your student at first. As soon as they complete the reading placement activity (no parent help with answers please) we will adjust their placement accordingly. This is very important for success with our program.
SECTION 3: Program & Platform Permissions
(ALL LEVELS)
Do you give permission for us to create digital accounts for your student on our learning platforms (Canvas, Learning A-Z, etc.)?
*
YES
NO
Parent Acknowledgment
*
I understand that Trinity Learning Connection utilizes third-party platforms and that parent access and oversight are always provided.
Program Agreement
*
I have read and agree to the following program policies and expectations:I understand that all subscriptions are billed monthly and that no partial-month refunds are provided.I understand that refunds are only issued if my child is placed on a waiting list and I choose not to remain on that waiting list, and that any refund will be issued minus administrative/processing costs.I understand that Trinity Learning Connection provides curriculum support, resources, and guidance, but is not responsible for student grades, academic outcomes, testing results, or placement decisions.I understand that parents are responsible for previewing all materials and determining whether content aligns with their family’s beliefs, values, and educational goals.I understand that Trinity Learning Connection is not responsible for materials used, altered, or supplemented outside of the provided program.I understand that lesson plans and pacing are flexible and parent-directed, and that completion of lessons and student participation are the responsibility of the family.Technology DisclaimerI understand that participation requires reliable internet access and an appropriate device, which are the responsibility of the family.I acknowledge that Trinity Learning Connection is not responsible for technology issues, including internet outages, device malfunctions, third-party platform downtime, or user error that may affect access to materials or sessions.Force MajeureI understand that Trinity Learning Connection is not liable for delays, interruptions, or cancellations of services caused by events beyond its reasonable control, including but not limited to illness, emergencies, natural disasters, power outages, internet or platform failures, or other unforeseen circumstances.In such cases, reasonable efforts will be made to communicate changes or resume services when possible.I give permission for Trinity Learning Connection to create student accounts on approved learning platforms as needed to deliver services.By checking this box, I acknowledge that I have read, understand, and agree to these terms.
Submit
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