Summer Tutoring Targeted Academic Support Registration
  • Summer Tutoring - Targeted Academic Support Registration Form

  • Welcome to the EduKation Solutions Summer Tutoring: Targeted Academic Support Program!

    Thank you for your interest in enrolling your scholar in our summer academic program. Designed for scholars in Grades K–8 and Rising 9th Grade, this program provides targeted academic support in Reading, Writing, and Mathematics through small-group instruction, individualized learning plans, data-informed strategies, realistic goal setting, daily progress monitoring, and engaging real-world learning projects.

    Our goal is to strengthen foundational skills, improve academic performance, build confidence, and help scholars maintain and accelerate their learning throughout the summer months.

    Program Details:

    • Dates: June 15, 2026 – July 17, 2026

    • Time: 8:30 AM – 12:30 PM, Monday–Friday

    • Location: The Annex Building, 7757 S. Greenwood Ave., Chicago, IL 60619

    • No Classes: June 19, 2026 (Juneteenth) and July 3, 2026 (Independence Day)

    • Culminating Event: Scholar Showcase & Family Celebration on Friday, July 17, 2026

    Important Registration Information:

    • Please complete one registration form for each scholar you wish to enroll.

    • A separate form and registration fee are required for each scholar.

    • Registration is not considered complete until all required information has been submitted and payment has    been received.

    • Space is limited and enrollment will be accepted on a first-come, first-serve basis.

    We look forward to partnering with your family and supporting your scholar’s academic growth this summer!

  • SECTION 1 - STUDENT INFORMATION

  • Date of Birth*
     - -
  • SECTION 2 - PARENT/GUARDIAN INFORMATION

  • Format: (000) 000-0000.
  • Would you like to add a second Parent/Guardian to this registration?
  • Format: (000) 000-0000.
  • SECTION 3 - STUDENT MEDICAL INFORMATION

  • SECTION 4- EMERGENCY CONTACTS

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • SECTION 5 - STUDENT LEARNING PROFILE

  • Academic Areas Needing Support*
  • SECTION 6 - HOW DID YOU HEAR ABOUT US?

  • SECTION 7 - PERMISSIONS, CONSENT, and AGREEMENT SIGNATURES

    • I am the parent or legal guardian of the student listed on this registration form.
    • I understand that the EduKation Solutions Summer Targeted Academic Support Academy is an educational support program designed to provide academic enrichment and intervention services.
    • I understand that a non-refundable Program Deposit of $75 is required to reserve my child's seat in the program.
    • I understand that the weekly program fee is $100 per week, due each Monday, and that all payments made to EduKation Solutions are non-refundable. Invoices will be sent 2-4 days prior to each weekly due date.
    • I understand that enrollment is not considered complete until payment has been received and confirmed by EduKation Solutions. Payments submitted via Zelle will be confirmed within 24 hours of receipt at success@edukationsolutions.com.
    • I authorize EduKation Solutions staff, contractors, employees, and Learning Coaches to provide educational services and academic support to my child during program hours.
    • I agree to provide accurate and complete information regarding my child's educational history, academic needs, and emergency contact information.
    • I understand that EduKation Solutions reserves the right to remove a student whose behavior presents a safety concern or substantially disrupts the learning environment.
    • I release and hold harmless EduKation Solutions, its officers, employees, contractors, volunteers, and partnering organizations from claims arising from ordinary participation in program activities, except where prohibited by law.
    • I acknowledge that EduKation Solutions does not guarantee specific academic outcomes, test score increases, or grade improvements. Academic growth is dependent upon student participation, attendance, and effort.
  • Photograph and Video Release Authorization*
  • Date*
     - -
  • SECTION 8 - PAYMENT POLICY

    • A non-refundable Program Deposit of $75 is required to reserve your child's seat. Enrollment is not confirmed until the deposit is received.
    • The Weekly Program Fee is $100, due each Monday. Invoices will be sent 2-4 days prior to each due date.
    • Weekly Program Fee Payment Schedule:
    • Week 1 — Mon, June 15 | Week 2 — Mon, June 22 | Week 3 — Mon, June 29 | Week 4 — Mon, July 6 |    Week 5 — Mon, July 13
    • If the Program Deposit + Week 1 Program Fee ($175) is paid at registration, your next payment will be due Monday, June 22, 2026.
    • If the Full Program Fee ($575) is paid at registration, no further payments are required.
    • Zelle payments: Send to success@edukationsolutions.com — include your child's full name in the memo. Confirmation will be sent within 24 hours.
    • All payments are non-refundable.
  • Please select one Program Fee payment option below.

    Your total will reflect your selection automatically. If you wish to change your selection, please choose a different option.

  • Program Fee Selection*

    prevnext( X )
          Program Deposit (minimum payment requirement)

          Secures your child's enrollment. First program fee due Mon, June 15, 2026

          $75.00$75.00

          Item subtotal:$0.00$0.00
            
          Program Deposit + Week 1 Program Fee

          $75 deposit + $100 Week 1. Next payment due Mon, June 22, 2026.

          $175.00$175.00

          Item subtotal:$0.00$0.00
            
          Full Program Fee — 5 Weeks

          $75 deposit + $500 (5 weeks at $100). No further payments required.

          $575.00$575.00

          Item subtotal:$0.00$0.00
            
          Total
          $0.00$0.00
        • Should be Empty: