Lumos Online Transfer
This form is for parents who are currently registered for Lumos to transfer to our online program. If you have questions about pricing, refund policy, what to expect, etc, please go to:

If you have multiple students or have registered for multiple sessions, please fill out this form once for each student/session you have registered for.

Once you complete this form, our team will process your transfer and will email you back to confirm the dates you've chosen. Please be patient! This process may take up to a week for confirmation.

If you're looking to switch to new dates, you can find our current set of dates here:
Student First Name *
Your answer
Student Last Name *
Your answer
Student Email (we'll send the Zoom link to both student and parents) *
Your answer
Parent Email *
Your answer
Parent Phone Number *
Your answer
What Program are you Currently Registered For? *
What dates are you currently registered for in 2020? *
Your answer
Do you want to keep your dates or change dates? *
If you want to change dates, please put the new dates you would like to request here. You can find our current offering of dates here:
Your answer
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy