Form

Client Agreement

*Total Package Plus*

We're excited to start working with you!

After you complete this form, you'll be able to schedule our first meeting together.

Today's Date*

Client First Name*

Client Last Name*

Client Email Address*

example@example.com

Client Age*

Client School *

Client Year in School*

Parent First Name*

Parent Last Name*

Parent Address*

Street Address

City*

Postal Code*

Parent Phone Number*

🇺🇸

Parent Email*

FutureU is committed to protecting and respecting your privacy, and we’ll only use your personal information to administer your account and to provide the products and services you requested from us. From time to time, we would like to contact you about our products and services, as well as other content that may be of interest to you. If you consent to us contacting you for this purpose, please tick below to say how you would like us to contact you:

I agree to receive other communications from FutureU.

In order to provide you the content requested, we need to store and process your personal data. If you consent to us storing your personal data for this purpose, please tick the checkbox below.

I agree to allow FutureU to store and process my personal data.*

You can unsubscribe from these communications at any time. For more information on how to unsubscribe, our privacy practices, and how we are committed to protecting and respecting your privacy, please review our Privacy Policy.