Mon Amie’s Academic Advantage Program Registration

Welcome to Mon Amie’s Learning Lab!

We’re excited to support your child’s academic growth and confidence. Please complete this form when you are ready to enroll your child in tutoring. If you have questions or would like to learn more before enrolling, contact us at info@monamiessolutions.com or (318) 718-4554. After You Register Once your registration is submitted, you’ll receive: * An enrollment confirmation * A secure link to submit any required registration fee and tuition * Information about your child’s tutoring schedule and next steps Saturday Skill Builders families: Monthly tuition is $160 per month, due at enrollment to reserve your child’s seat and on the 1st of each month thereafter. We look forward to helping your child learn, grow, and succeed!
Student Information
How did you hear about Mon Amie’s?

Other
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Student's Full Name

First NameMiddle NameLast Name
Name of School District
School Name
Student Grade Level
Specific reading challenges or areas of focus
Upload academic documents

Cancelof
10-digit State Student ID Number
Relevant medical or learning disabilities
Program and Academic Services
Program you are registering for
Subject(s) for tutoring services
Academic Assessment Results

Other
Tutoring session format preference
Session type preference
Desired start timeframe for sessions
Number of weekly sessions
Preferred tutoring days
Preferred tutoring time (This question is only for Saturday Skill Builder enrollment)
Previous tutoring or intervention services received
Parent / Guardian Information
Parent Full Name

First NameMiddle NameLast 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
Additional comments, information, or questions
ADHD / Neurodiverse Support Details
Formal diagnosis of ADHD or another neurodiverse condition
Is your child currently receiving accommodations or support for attention, focus, or learning needs at school?
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
Monthly Tuition Payment Method
Tuition & Payment Confirmations

Other
Program Policy Confirmations

Other
Digital Signature

First NameMiddle NameLast Name
Should be Empty:

Welcome to Mon Amie’s Learning Lab!

Student Information

Program and Academic Services

Parent / Guardian Information

ADHD / Neurodiverse Support Details

Scheduling, Tuition, and Agreements