Mon Amie’s Academic Advantage™
Welcome to Mon Amie’s Academic Advantage! We offer both virtual and in-person options and adjust tutoring schedules quarterly to align with seasonal family routines. 🔔 Important: Please complete this registration only if you are ready to enroll your child in tutoring. If you still have questions or are exploring options, we’d love to connect with you first! 📧 Email us at info@monamiessolutions.com or call (318) 545-5525 x828 Once you complete this registration form: ✔️ You’ll receive an Enrollment Confirmation Email within 5 business days ✔️ You’ll be sent a secure link to pay your $25 registration fee and first month’s tuition (prorated if applicable) ✔️ You’ll receive instructions to schedule your child’s weekly tutoring sessions We look forward to walking alongside your child and helping them grow in both skill and confidence! Before you continue, please only complete this registration if you are certain you'd like to register/enroll in tutoring with Mon Amie's. If you are still in the process of vetting tutoring providers, and have some questions that you'd like answered, please email us at info@monamiessolutions.com or (318) 545-5525 x828. Once completing this registration form, you will receive a confirmation enrollment form within 3 business days, as well as a link to schedule your child's first tutoring session.
Student Information
How did you hear about Mon Amie’s?
School
Friend/Family
Internet Search
Social Media
Flyer
Teacher/School Staff
Other
Date
*
-
Month
-
Day
Year
Date
Student's Full Name
*
First Name
Middle Name
Last Name
Name of School District
School Name
Student Grade Level
*
Please Select
Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Other
Specific reading challenges or areas of focus
Upload academic documents
Upload a File
Drag and drop files here
Choose a file
Cancel
of
10-digit State Student ID Number
Relevant medical or learning disabilities
Parent / Guardian Information
Parent Full Name
*
First Name
Middle Name
Last Name
Parent Email Address
*
example@example.com
Parent Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact Name and Contact Information
Preferred Method of Communication
Please Select
Email
Phone
Text Message
Other
Program and Academic Services
Program you are registering for
Please Select
Academic Success Program
Tutoring Services
Academic Coaching
Test Preparation
Other
Subject(s) for tutoring services
Please Select
Math
Reading
Writing
Science
Study Skills
Executive Functioning
Test Prep
Other
Academic Assessment Results
*
Current School Testing
Private Psychoeducational Evaluation
IEP/504 Evaluation
Progress Monitoring Data
Teacher Reports
Other
Tutoring session format preference
*
Please Select
In person
Online
Either in person or online
Session type preference
*
Please Select
1:1 individual sessions
Small group sessions
Either
Desired start timeframe for sessions
*
Please Select
As soon as possible
Within 2 weeks
Within 1 month
Flexible
Other
Number of weekly sessions
*
Please Select
1 session per week
2 sessions per week
3 sessions per week
4 or more sessions per week
Preferred tutoring days
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Preferred tutoring time
*
5:15 PM - 6:15 PM
6:15 PM - 7:15 PM
Previous tutoring or intervention services received
Additional comments, information, or questions
ADHD / Neurodiverse Support Details
Formal diagnosis of ADHD or another neurodiverse condition
*
Please Select
ADHD
Autism Spectrum
Dyslexia
Dyspraxia
Other neurodiverse condition
No formal diagnosis
Prefer not to say
Is your child currently receiving accommodations or support for attention, focus, or learning needs at school?
*
Please Select
Yes
No
Unsure
Prefer not to say
Effective strategies or techniques for managing attention and focus challenges
Preferred way for your child to receive feedback or redirection during tutoring
Specific goals or areas of focus related to attention and focus skills training
Additional information about your child's attention, learning, or neurodiverse condition
Scheduling, Tuition, and Agreements
Scheduling: Session Type
*
Please Select
One-on-One
Group Session
Monthly Tuition Payment Method
Please Select
Bank Transfer
Check
Online Payment
Other
Tuition & Payment Confirmations
*
I understand tuition is due monthly
I understand payment terms and deadlines
I agree to notify the program of billing changes
Other
Program Policy Confirmations
*
I have reviewed the program policies
I agree to follow attendance and cancellation policies
I understand the expectations for student participation
Other
Digital Signature
*
First Name
Middle Name
Last Name
Submit Registration
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