Language
  • English (US)
  • Español
  • CLC Enrollment Forms

  • *Please note, returning students are still required to complete all required fields on this page.


  •  -

  • Parent or Guardian Information:

  •  -
  •  -
    • Add Additional Parent or Guardian Contact  
    •  -
    •  -
    • Collapse Stopper  
    • Emergency Contact

      (Other than parent)
    •  -
    •  -
  • Academic Information

  • Briefly describe your academic goals and what you expect to gain from your tutoring:


  • Please explain and provide a copy:

  • Browse Files
    Cancel of
  • Please provide any additional academic information you find relevant:

  • Demographic Information

    As a non-profit, CLC is committed ensuring access to our services and programs for all ethnic and socio-economic groups in Summit County.

  • These questions help us to build and distribute scholarship funding to our students. To learn more or apply to our scholarship programs, please email ashley@clcsummit.com! 

  • Confidentiality and Records Release

  •  /  /
    Pick a Date
  •  -
  • I, {parentOr} grant permission to {nameOf} and any of its representatives (including, but not limited to: teachers, counselors, and administrators) to speak with teachers and/or tutors from Colorado Learning Connections regarding the academic history and progress of my child, {studentName}. I further authorize {nameOf} and any of its representatives to release any academic records, academic testing results, and/or schoolwork requested by Colorado Learning Connections.

  • Clear
  •  /  /
    Pick a Date
  • Photo Release

  • I, {studentName}, do hereby grant Colorado Learning Connections permission to use my likeness in a photograph or other digital reproduction in any and all of its publications, including website entries and social networking sites, without payment or any other consideration. In addition, I waive the right to inspect or approve the finished product, including written or electronic copy, wherein my likeness appears. I waive any right to royalties or other compensation arising or related to the use of photographs wherein my likeness appears. I hereby hold harmless and release and forever discharge Colorado Learning Connections from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization.

  • Clear
  • Consent for Minor

    I am the parent or legal guardian of the minor named above and have the legal authority to execute the above release. I approve the foregoing and waive any rights in the premises.

  • Clear
  •  /  /
    Pick a Date
  • Policies

    Please review our policies and general expectations.
  • BILLING and CANCELLATION POLICIES

    • Students must come to appointments on time and prepared. Students should bring their assignments, notebooks, textbooks, calculator, pencils, etc. If your student arrives late to his or her appointment, the appointment will end at its scheduled time and you will be billed for the full length of the original appointment.

    • Students should plan to attend their scheduled sessions even if they have no homework or long-term projects. Tutors always have enrichment activities planned to help develop skills, reinforce areas of weakness, or pre-teach difficult concepts.

    • You will be billed for the full length of any appointments missed without sufficient notice (see below).

    • If you need to cancel or reschedule an appointment, please provide at least 24 hours notice. We understand that things come up, emergencies happen, and people get sick. When possible, your session will be moved to a virtual format at your regularly scheduled time. If you have an emergency we appreciate as much notice as possible. These may be waived on a case by case basis.

    • If a student is late for an appointment or needs to leave early, you will still be billed for the full length of the appointment.

    • If your regularly scheduled tutor is unavailable, CLC will schedule your appointment with another tutor at our discretion. 

    • Colorado Learning Connections has two billing cycles. Clients with last names beginning A-L will receive invoices via email after the 20th of each month and payment will be due on the 5th of the following month. Clients with last names beginning M-Z will receive invoices via email after the 10th of each month and payment will be due on the 25th of the same month.

    • Any balances left unpaid 30 days after the invoice will be subject to a 10% latefee.

    • Invoices will be emailed to {invoiceEmail} in accordance with the above billing schedule. To ensure that you receive all billing communications, please add admin@clcsummit.com, billing@clcsummit.com, and quickbooks@notifications.intuit.com to your address book.

  • COVID-19 POLICIES and GUIDELINES

    • All students and tutors will wear masks over their mouth and nose for the duration of their sessions and while in shared spaces within CLC, unless otherwise explicitly discussed and agreed upon between both tutor and parent/guardian. Disposable masks are available upon request.
    • Your student should not attend their in-person appointment if they have symptoms of COVID-19 or have been in contact with a positive case. If you need to cancel an appointment due to exposure risk, we ask that you either provide 24 hours notice of cancellation or notify CLC that you will attend your regularly scheduled appointment virtually.
    • If a student is showing symptoms of COVID-19, their temperature may be taken and parent may be contacted. The student may be asked to leave CLC dependent on Colorado health guidelines.
    • Your student will be asked to bring their own supplies whenever possible, and sanitize their hands and surrounding regularly.
  • By signing this agreement, I am indicating that I have read, understand, and agree to follow the policies listed above. I am also acknowledging receipt and acceptance of the detailed billing policies as well as the appropriate contact information for Colorado Learning Connections. I understand that I will be billed for the full length of any appointment cancelled or missed without proper notice.

  • Clear
  •  /  /
    Pick a Date
  • Receiving Updates and Information

  • How did you hear about Colorado Learning Connections? (Ask about our referral program and get and learn how to get discounts!)

     

  • Want all the news on our newest programs and special offerings? Follow us on Facebook at CLC Colorado Learning Connections, Instagram @coloradolearningconnections, and sign up for our email list.

  • Please save the following pdfs for your reference and select submit below.

    A confirmation of your submission will be emailed shortly.
  • Should be Empty:
Jotform Logo
Now create your own Jotform - It's free! Create your own Jotform