Information Request Form
Email *
We offer a 15 minute Free consultation with our CEO and Founder Bige Doruk.  Here is the link to the consultation schedule.  
Parent Contact Information
Name: *
 Email Address *
Home Phone
Cell/Work Phone
Address
Zip Code *
Are you a returning client?
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Were you referred by a client?
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Child Information
Birthdate allows Bright Kids to pinpoint your child's testing needs.
Child Name
Birth Date *
MM
/
DD
/
YYYY
Child(ren) applying for: *
Required
Current Grade *
Preferred Location
I am interested in the following tests/subjects: (Check all that apply) *
Required
Message (Please elaborate on your inquiry)
How did you hear about Bright Kids? *
Required
Send me newsletters and special promotions
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A copy of your responses will be emailed to .
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