IMS Private Coaching 2026–2027 Enrollment Contract
Student Full Name
*
First Name
Middle Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Parent/Guardian Full Name
First Name
Middle Name
Last Name
Parent Email
example@example.com
Parent Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Student Grade or Adult Status
*
Please Select
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Adult
Program Selection & Scheduling Preference
Program Selection
*
Three 30-minute private coaching lessons per month — $195/month
Four 30-minute private coaching lessons per month — $259/month
Preferred Lesson Day
*
Tuesday
Wednesday
Acknowledgments & Electronic Signature
Acknowledgment
*
I understand the four-month minimum enrollment, monthly tuition, $99 enrollment fee, prepaid final-month installments, and requirement to give at least 30 days written notice to withdraw.
Acknowledgment
*
I have read and agree to this Private Coaching Enrollment Contract, including its minimum commitment, withdrawal notice, payment policies and school calendar.
Electronic Signature
*
Date Signed
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit
Submit
Should be Empty: