JKLC REGISTRATION TUTORING FORM
Thank you for your interest in our Jolly Knowledge Learning Center, better known as the JKLC.  You will soon learn that our Center is by far way beyond what you have ever seen.  We offer a range of educational services to help elevate your Child or Children to an even higher learning level.  The Instructor Ms. Jolly, is a graduate of Cal Poly State University and has over 30 years of teaching experience and absolutely Loves working with and pouring wisdom into children.  You will find that our primary focus is for our Students to enjoy the exciting learning experience while having fun, thus our Motto "Learning While Having FUN".  Our core age group is 4 to 8 and the grade levels are primary TK, PreK, Kinder, 1st & 2nd. However, we do have room for flexibility with prior special arrangements being approved.  This is going to be an exciting adventure filled with a variety of easy to follow lessons and fun learning techniques.  Your child will have the best time learning and will look forward to learning even more.  Our prices are very reasonable, we like to say we have the Blessed Prices in Town.  Once you have completed the application, and prior to your child beginning their sessions,  a consultation will be given to you the parent as well as an quick assessment with your child to determine where they are academically.    Please complete the application process below and submit and commit to being part of this wonderful journey with Ms. Jolly.  Are YOU Ready??
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Email *
Student First and Last Name (Need a Separate form for each student) *
Tell Us A Little about your child, strengths and weaknesses.  What Motivates them? *
Student's Age *
Student's Birthday *
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Student Grade Level (pick one only) *
Tutoring Selection Packages (Pick One) In addition, at end of form see available teacher student supply kit Offered *
THIS IS FOR INDIVIDUALIZED (one on one) Tutoring Session Days ONLY  - Please select one *
Required
THIS IS FOR GROUP Tutoring Sessions Days ONLY (5 Students per  Session)   Please Make One Selection *
Required
Tutoring Duration - (Each session 45 minutes)  (Select one) Includes, lesson, brain breaks, activities, reviews Tutoring Preferred Time Frame (Select ONE Only) Recurring Sessions MAY be discussed with Ms. Jolly *
Required
THIS IS FOR INDIVIDUALIZED Tutoring ONLY Select ONE FOCUS Area per Session (Ex. 1 Session = one selection - 2 Sessions = two selections - 3 Sessions =three selections) *
Required
Total Tutoring Sessions Selected (REMEMBER Priced per Session, Individual $40, Group $35, Family Discount $30) *
One Time Student Basic Supplies Starter Kit $12 - Includes canvas bag, dry erase board, erasers, plastic insert, markers, pencils, folders, blank sheets, alphabet, shapes & number charts, lesson sheets etc *
Parent Phone Number *
Type Parents/Guardian Full Name. (This Represents Acceptance of Form Submission and Request for Approval) *
A copy of your responses will be emailed to the address you provided.
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