You can always press Enter⏎ to continue
Welcome

Welcome

Please fill out and submit this form to register your child for our Student Success Reading & Math Program .
29Questions
  • 1

    This Registration is for one or more of the following session dates:

    Upcoming Summer Session Dates:

    • June 1, 2026 - July 30, 2026

    Upcoming After-school Session Dates:

    • September 14, 2026 - November 6, 2026
    Press
    Enter
  • 2
    Press
    Enter
  • 3
    Press
    Enter
  • 4
    Press
    Enter
  • 5
    Press
    Enter
  • 6
    Press
    Enter
  • 7
    Press
    Enter
  • 8
    Press
    Enter
  • 9
    Press
    Enter
  • 10
    Press
    Enter
  • 11
    Press
    Enter
  • 12
    Press
    Enter
  • 13
    Please Select
    • Please Select
    • Afghanistan
    • Albania
    • Algeria
    • American Samoa
    • Andorra
    • Angola
    • Anguilla
    • Antigua and Barbuda
    • Argentina
    • Armenia
    • Aruba
    • Australia
    • Austria
    • Azerbaijan
    • The Bahamas
    • Bahrain
    • Bangladesh
    • Barbados
    • Belarus
    • Belgium
    • Belize
    • Benin
    • Bermuda
    • Bhutan
    • Bolivia
    • Bosnia and Herzegovina
    • Botswana
    • Brazil
    • Brunei
    • Bulgaria
    • Burkina Faso
    • Burundi
    • Cambodia
    • Cameroon
    • Canada
    • Cape Verde
    • Cayman Islands
    • Central African Republic
    • Chad
    • Chile
    • China
    • Christmas Island
    • Cocos (Keeling) Islands
    • Colombia
    • Comoros
    • Congo
    • Cook Islands
    • Costa Rica
    • Cote d'Ivoire
    • Croatia
    • Cuba
    • Curaçao
    • Cyprus
    • Czech Republic
    • Democratic Republic of the Congo
    • Denmark
    • Djibouti
    • Dominica
    • Dominican Republic
    • Ecuador
    • Egypt
    • El Salvador
    • Equatorial Guinea
    • Eritrea
    • Estonia
    • Ethiopia
    • Falkland Islands
    • Faroe Islands
    • Fiji
    • Finland
    • France
    • French Polynesia
    • Gabon
    • The Gambia
    • Georgia
    • Germany
    • Ghana
    • Gibraltar
    • Greece
    • Greenland
    • Grenada
    • Guadeloupe
    • Guam
    • Guatemala
    • Guernsey
    • Guinea
    • Guinea-Bissau
    • Guyana
    • Haiti
    • Honduras
    • Hong Kong
    • Hungary
    • Iceland
    • India
    • Indonesia
    • Iran
    • Iraq
    • Ireland
    • Israel
    • Italy
    • Jamaica
    • Japan
    • Jersey
    • Jordan
    • Kazakhstan
    • Kenya
    • Kiribati
    • North Korea
    • South Korea
    • Kosovo
    • Kuwait
    • Kyrgyzstan
    • Laos
    • Latvia
    • Lebanon
    • Lesotho
    • Liberia
    • Libya
    • Liechtenstein
    • Lithuania
    • Luxembourg
    • Macau
    • Macedonia
    • Madagascar
    • Malawi
    • Malaysia
    • Maldives
    • Mali
    • Malta
    • Marshall Islands
    • Martinique
    • Mauritania
    • Mauritius
    • Mayotte
    • Mexico
    • Micronesia
    • Moldova
    • Monaco
    • Mongolia
    • Montenegro
    • Montserrat
    • Morocco
    • Mozambique
    • Myanmar
    • Nagorno-Karabakh
    • Namibia
    • Nauru
    • Nepal
    • Netherlands
    • Netherlands Antilles
    • New Caledonia
    • New Zealand
    • Nicaragua
    • Niger
    • Nigeria
    • Niue
    • Norfolk Island
    • Turkish Republic of Northern Cyprus
    • Northern Mariana
    • Norway
    • Oman
    • Pakistan
    • Palau
    • Palestine
    • Panama
    • Papua New Guinea
    • Paraguay
    • Peru
    • Philippines
    • Pitcairn Islands
    • Poland
    • Portugal
    • Puerto Rico
    • Qatar
    • Republic of the Congo
    • Romania
    • Russia
    • Rwanda
    • Saint Barthelemy
    • Saint Helena
    • Saint Kitts and Nevis
    • Saint Lucia
    • Saint Martin
    • Saint Pierre and Miquelon
    • Saint Vincent and the Grenadines
    • Samoa
    • San Marino
    • Sao Tome and Principe
    • Saudi Arabia
    • Senegal
    • Serbia
    • Seychelles
    • Sierra Leone
    • Singapore
    • Slovakia
    • Slovenia
    • Solomon Islands
    • Somalia
    • Somaliland
    • South Africa
    • South Ossetia
    • South Sudan
    • Spain
    • Sri Lanka
    • Sudan
    • Suriname
    • Svalbard
    • eSwatini
    • Sweden
    • Switzerland
    • Syria
    • Taiwan
    • Tajikistan
    • Tanzania
    • Thailand
    • Timor-Leste
    • Togo
    • Tokelau
    • Tonga
    • Transnistria Pridnestrovie
    • Trinidad and Tobago
    • Tristan da Cunha
    • Tunisia
    • Turkey
    • Turkmenistan
    • Turks and Caicos Islands
    • Tuvalu
    • Uganda
    • Ukraine
    • United Arab Emirates
    • United Kingdom
    • United States
    • Uruguay
    • Uzbekistan
    • Vanuatu
    • Vatican City
    • Venezuela
    • Vietnam
    • British Virgin Islands
    • Isle of Man
    • US Virgin Islands
    • Wallis and Futuna
    • Western Sahara
    • Yemen
    • Zambia
    • Zimbabwe
    • Other
    Press
    Enter
  • 14
    Select all that apply
    Press
    Enter
  • 15
    Press
    Enter
  • 16
    Press
    Enter
  • 17
    Press
    Enter
  • 18
    Press
    Enter
  • 19
    Press
    Enter
  • 20
    If registering more than one child, please list child's name with allergies and/or medical conditions. If no children have allergies or medical conditions, enter N/A
    • Huge
    • Large
    • Normal
    • Small
    Ok
    quoteCreated with Sketch.
    Ok
    Press
    Enter
  • 21
    If registering more than one child, please list child's name with medications. If no children taking medication, enter N/A
    • Huge
    • Large
    • Normal
    • Small
    Ok
    quoteCreated with Sketch.
    Ok
    Press
    Enter
  • 22
    • Huge
    • Large
    • Normal
    • Small
    Ok
    quoteCreated with Sketch.
    Ok
    Press
    Enter
  • 23
    If registering more than you one child, please list child's name with learning and/or behavioral needs requiring special accommodations. If no children have learning or behavioral needs requiring special accommodations, enter N/A
    • Huge
    • Large
    • Normal
    • Small
    Ok
    quoteCreated with Sketch.
    Ok
    Press
    Enter
  • 24
    prevnext( X )
          My Bag
          0
          My Bag
          Great Product Name
          $20
          Quantity:1
          Size:Small
          RemoveEdit
          Great Product Name
          $20
          Quantity:1
          Size:Small
          RemoveEdit
          Great Product Name
          $20
          Quantity:1
          Size:Small
          RemoveEdit
          Great Product Name
          $20
          Quantity:1
          Size:Small
          RemoveEdit
          ORDER SUMMARY
          Total costUSD
          • 8-week Summer Program Registration Deposit (Note: This should only be paid if you are not paying in full. This registration deposit is to hold your child's spot and goes towards the full program fee) 
            $100.00RemoveEdit
            Back
          • 8-week Summer Program Full Session Fee (payment made by 5/15/2026
            $600.00RemoveEdit
            Back
          • 8-week Summer Program Full Session Fee (payment made AFTER 5/15/2026)
            $750.00RemoveEdit
            Back
            Total cost $0.00
            Press
            Enter
          • 25
            Please enter Student Name for Cash App and Venmo payments. A 3.9% fee applies to all credit/debit card payments. If credit/debit card payment selected, invoice will be sent for payment following receipt of registration.
            Press
            Enter
          • 26

            Terms and Conditions

            1. Program Overview
            Our Student Success Reading and Math Program is a 8-week program designed to enhance reading and math skills through personalized instruction and small group learning. Students meet twice a week for 90 minutes per session. 

             

            2. Program Fees

            • 8-Week Program Fee: $750 full payment or weekly fee of $100.00
            • The Registration Deposit or Full payment (Both should not be paid)

             

            3. Payment Policy

            • Payments are due according to the selected plan.
            • Late payments may result in a $25 late fee and/or suspension from the program until payment is received.
            • Payments are non-refundable, except as specified in the Refund Policy below.

             

            4. Refund Policy

            • Withdrawals must be submitted in writing via email to success@amayouth.org.
            • Withdrawals before the first session: Full refund minus $100 Registration deposit.
            • Withdrawals after the first session: 50% refund of the total program fee.
            • No refunds after the third session.

             

            5. Attendance Policy

            • Consistent attendance is crucial for student success.
            • Missed sessions will not be refunded or rescheduled, except in cases of emergency at the program's discretion.

             

            6. Code of Conduct
            Students and families are expected to adhere to the program's Code of Conduct, which promotes respect, collaboration, and a positive learning environment. Violations may result in removal from the program without refund.

             

            7. Program Modifications
            AMAzing Youth reserves the right to modify program schedules, instructors, and activities as necessary to ensure the quality and effectiveness of the program.

             

            8. Program Termination Clause
            AMAzing Youth reserves the right to terminate a student’s participation in the program for repeated violations of the Code of Conduct or other policies. No refunds will be issued in such cases.

             

            9. Force Majeure Clause
            AMAzing Youth is not liable for delays or cancellations caused by events beyond our control, including but not limited to natural disasters, government restrictions, pandemics, or other unforeseen circumstances. In such cases, reasonable efforts will be made to provide alternative arrangements, such as rescheduling sessions or offering virtual options.

             

            10. Liability Waiver
            By registering for the program, you acknowledge that AMAzing Youth is not responsible for any injury, loss, or damage incurred during participation in the program.

             

            11. Media Release
            By enrolling, you consent to AMAzing Youth using photos or videos of your child for marketing and promotional purposes. If you do not wish to grant this consent, you must notify us in writing before the program begins.

             

            12. Privacy Policy
            AMAzing Youth respects your privacy and will not share personal information with third parties without your consent.

             

            13. Agreement
            By registering for the program, you agree to these Terms and Conditions.

            Press
            Enter
          • 27
            Press
            Enter
          • 28
            Press
            Enter
          • 29

            The relevant session details will be provided via email after you have successfully registered.

            If you have any questions, please email or call us using the details below:

            success@amayouth.org
            (813) 336-2458

            Press
            Enter
          • Should be Empty:
          Question Label
          1 of 29See AllGo Back
          close