Academic Achievers Program

Academic Achievers Program

Tutoring for K-5 Grade Students
Parent/Caregiver Info
Parent/Caregiver Name*

First NameLast Name
Parent/Caregiver Mobile*
Please enter a valid phone number.
Parent/Caregiver Email*
Please enter a valid and active email address
SMS/WhatsApp/Email Opt-In*

I AGREE to receive text/email messages and reminders from ReDefiners
Home Address*

Street Address

Street Address Line 2

CityState

Zip Code
Choose your Hillsborough County Zip Code*
Only students living in Hillsborough County can enroll in these classes.
Do you have health insurance?*
What type of insurance do you have?*
Who is you insurance provider?*
Insurance ID #*
Do You Agree to the Attendance Requirements mentioned above?*
Program ID
Program Name
Program Cohort ID
Class Location
Account
Workflow Trigger

Emergency Contact Information

Please provide information for someone that can be contacted on the child's behalf other than the parent or caregiver.
Emergency Contact Name*

First NameLast Name
Emergency Contact Email*
example@example.com
Emergency Contact Phone Number*
Please enter a valid phone number.
Relationship to Student*

Student Info
Student Name*

First NameLast Name
Student Birthdate*

MonthDayYear
Date
Student Grade Level*
Student Ethnicity*
Student Race*
Student Gender*
Disability Community*
Student Eligible for Free or Reduced School Lunch?*
LGBTQIA*
What is the name of the school your child currently attends?*
Photo/Video Consent: I hereby grant permission to the rights of my image, likeness and sound of my voice as recorded on audio or video tape without payment or any other consideration. I understand that my image may be edited, copied, exhibited, published or distributed and waive the right to inspect or approve the finished product wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of my image or recording. I also understand that this material may be used in diverse educational settings within an unrestricted geographic area and may be published on the internet.*
Photo/Video Consent

Household Info
Household Structure*
Highest Education Level in Household?*
Number of Children in Household*
Number of Adults in Household*
Veteran/Military/Family Member Status*
Native Language*
What language is spoken at home?

Take a look at our policies

Last Step!
Read Terms of the Attendance Policy

X

Attendance Policy

At ReDefiners World Languages, participation in the Academic Achievers Program requires commitment to program expectations. Failure to comply may result in exit from the program.

Key Requirements:

Attendance: No more than 3 absences; must notify site supervisor or director at least 3 hours before a missed session.

Technology: Student must have access to a home device (computer/tablet/smartphone) with internet.

IXL Practice: Minimum 15 minutes/day , 7 days/week of assigned IXL skills.

Exit Process:

First Offense: Written warning outlining areas of concern.

Continued Non-Compliance: Placement on probation with support.

Review: Evaluation of progress after probation.

Exit Decision: Student may be removed if requirements are not met.

Parent will be notified in writing.

Appeal: Parents can appeal the decision within 1 week.

Support: Resources provided to assist with transition to alternative programs.

By submitting the enrollment form, parents/guardians acknowledge and agree to abide by this policy. 🔗 Full Policy Document
Attendance Policy*

I agree and commit to the terms of the Attendance Policy (Mandatory)
Read Terms of the Photo / Video Consent

X

Photo / Video Consent

I hereby grant permission to the rights of my image, likeness and sound of my voice as recorded on audio or video tape without payment or any other consideration. I understand that my image may be edited, copied, exhibited, published or distributed and waive the right to inspect or approve the finished product wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of my image or recording. I also understand that this material may be used in diverse educational settings within an unrestricted geographic area and may be published on the internet.
Photo / Video Consent*

I agree to the terms of the Photo / Video Consent (Mandatory)
SMS & Communications Policy*

I agree to receive updates about my classes by email and sms messages (Mandatory)
Marketing Policy

I agree to receive updates or news about ReDefiners
Should be Empty:

Parent/Caregiver Info

Emergency Contact Information

Student Info

Household Info

Scheduling

Take a look at our policies

Attendance Policy

Photo / Video Consent