Adaptive Learning Support Registration Form

Building Strong Foundations Adaptive Learning Support Registration Form

Thank you for choosing Grace & Growth.
Please complete this form to register a learner for access to our Adaptive Learning Support services.

The information provided will be used to create and manage the learner profile, activate access to the adaptive learning platform, and ensure the learner receives the appropriate support, guidance, and progress monitoring throughout their learning journey.

Grace & Growth provides access to adaptive learning technology and supports families, schools, and educational partners through learner profile management, implementation support, progress monitoring, and ongoing guidance.
Learning Arrangement
Parent/Guardian Full Name

First NameLast Name
Relationship to Learner
Parent/Guardian Contact Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Email Address
example@example.com
School/Organisation Name (if applicable)
School/Organisation Contact Person (if applicable)
Contact Person Position (if applicable)
School/Organisation Contact Number (if applicable)
Please enter a valid phone number.Format: (000) 000-0000.
School/Organisation Email Address (if applicable)
example@example.com
Learner Full Name

First NameLast Name
Learner Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Current Grade
Adaptive Learning Support Required

Other
Current learning goals for the learner
Areas where additional support may be required
Progress Communication Preference
I confirm that the information provided is accurate and complete.
I give permission
I understand that adaptive learning technology provides personalised learning experiences by responding to learner progress, identifying areas requiring additional practice, and adjusting learning activities according to the learner’s needs.

I understand that Grace & Growth supports the implementation and use of adaptive learning technology through learner profile management, guidance, and ongoing support, but does not replace the role of the learner’s parent/guardian, school, or chosen curriculum provider.
Parent / Guardian Consent
Parent / Guardian Name

First NameLast Name
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Signature
School / Organisation Confirmation (If Applicable)
Name

First NameLast Name
Position
Date

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

Building Strong Foundations Adaptive Learning Support Registration Form

Parent / Guardian Consent

School / Organisation Confirmation (If Applicable)