Uplift Writing New Customer Registration
Thanks for registering with Uplift Writing!

After completing the form you will see a link to enter your PAYMENT INFORMATION where you will be asked to enter your name and address again - we are sorry about this but the two accounting software and payment systems are separate.

You only need to fill out each form ONE time even if you have more than one child receiving tutoring but please fill in all fields.

If your credit card is declined in the future for any reason, we will send you an invoice with a link to a simplified Payment Authorization Form. You won't need to fill in this google form again.

Current Tutoring Rates:
Minimum 1 hour sessions except for special arrangements.
Appointments are charged as time booked plus any additional time.
General Writing: 98/hr
Advanced, Honors, AP, IB: 108/hr
Test Prep such as SAT, ACT, ISEE, SSAT: 138/hr
Admissions Consulting and Essay Review: 144/hr

Dylan and Will's rates start at 108/hr

Many Thanks!
-Uplift
Email address *
First Name *
Last Name *
Cell Phone formatted as: ### ### #### *
Home Phone formatted as: ### ### ####
Mailing Address Line 1 *
Mailing Address Line 2 (for Apt. or Suite #)
City *
State formatted as: XX *
Zip Code formatted as ##### or #####-#### *
Student Name
Student School
High School Grad Year (2033 – “current grade”)
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