• Gold Star Tutoring Summer Program Registration Form

  • Welcome to the Gold Star Tutoring Summer Program registration form. Please read the information below and complete all required fields before submitting.
  • Thank you for your interest in Gold Star Tutoring's Summer Program!  Please complete the form below to reserve your child's spot.  Spaces are limited and filled on a first-come, first served basis.  

  • Parent/Guardian Full Name

  • Format: (000) 000-0000.
  • Student Information

  • Academic Needs

    What areas does your child need support in?
  • Academic Needs
  • Academic Concerns

  • Program Selection
  • Preferred Start Session

  • Preferred Start Session
  • Payment and Registration

    Choose One:
  • Registration Option*
  • A $100 non-refundable deposit is required to reserve your child's spot. Remaining balance due by June 1.
  • How did you hear about us?*
  • Will you be willing to recommend us?
  • Should be Empty: