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Complete The Form and Schedule Your Free Tutoring Session (30 minutes)
Your student's first session and evaluation are completely free.
Long-term plans are offered in bundles of 10 or 25, with a significant discount for the latter.
There are no hidden fees, and plans can be changed or canceled at any time with a full refund for any remaining sessions.
Parent/Guardian First Name
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Parent/Guardian Last Name
*
Parent/Guardian Email
*
Phone Number
*
State (select)
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Please Select
AK
AL
AR
AZ
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MA
MD
MI
MN
MO
MS
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
American Samoa
Federated Micronesia
Guam
Marshall Islands
Northern Mariana Islands
Palau
Puerto Rico
Virgin Islands
City
*
ZIP Code
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Student Name
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Subject Area/Grade Level
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Please Select
Math
English Language Arts
Does your child need to keep up, catch up, or get ahead?
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Please Select
Keep Up
Catch Up
Get Ahead
Are you interested in college/standardized test prep?
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Please Select
Yes
No
Please indicate if your student has special instructional needs.
Dyscalculia (Numerical Dyslexia)
Dysgraphia
AD(H)D - focus concerns
Autism Spectrum/Aspergers
Dyslexia/Surface Dyslexia
Executive Function
Slow Processing Speed
Working Memory Deficits/Long-Term Memory Issues
Anxiety Disorder
Student Conduct Disorders
English Language Learners
Auditory Processing Disorder
Visual Processing Disorder
Gifted & Talented
Additional Comments
Please include any additional info about your student that you believe will assist in making the best tutor match.
Preferred Day(s)/Time(s)
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Please indicate if you have a particular day/time slot that would work best for your free session. (include your timezone)
How did you hear about us?
*
Please Select
Online Search
Online Search Ad
Event
Word of Mouth
Cignition Staff
School/District
News Article/Blog
Social Media
Email/Newsletter
Referral
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