Registration Form
It’s Possible Learning HUB
17663 Torrence Ave
Lansing, IL 60438

Contact us:
(312) 900-8303

Email *
Your Name *
Please enter your phone number *
Please enter your address *
Please enter an emergency contact's name and number. *
Student's Name *
School & Grade Level *
Student's favorite hobbies and interests: *
Reading books, Playing video games, Drawing etc
What tutoring services are you interested in? *
Check of all that applies to you.
What is your biggest concern about your child's math progress? *
Are they doing well for their grade level?
If your child is having math or reading struggles, at what grade or age did these difficulties begin? *
Has your child been tutored in math or reading before? If so when? *
Does your child need any medical assistance during tutoring? If so, please list below. *
Please list your preferred scheduled tutoring Dates & Times: *
Will your child need Aftercare? *
Our After Care pricing is on our website.
The Learning HUB likes to celebrate your child's work and achievements. As a result, we do photograph our students with parental consent. We would like your permission to share your child's achievements on our website. *
Have you reviewed our Rates and Policies? *
Our rates and policies are on our website. Please review them upon completing this form.
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