Study Hall Interest Form
Please fill out this form so we can better form our Learning Pods. We will reach out to you after you've submitted the form to discuss how the program will work for you and your child. Please note that we will not take payment until 9/3/20.
Email address *
Student name *
Student grade level *
Student's school *
Does your child have a Chromebook/laptop/iPad to bring and use during Study Hall? *
Does your child have headphones to bring and use during Study Hall? *
Will your child attend Study Hall for the full week or only on specific days (please check the box by the specific days)? *
Required
If your child will be attending Study Hall for 2+ weeks, do you want them to take advantage of the complimentary academic assessment provided by Sylvan Learning Center? *
Sibling name
Sibling grade level
Sibling school
Does your child have a Chromebook/laptop/iPad to bring and use during Study Hall?
Clear selection
Does your child have headphones to bring and use during Study Hall?
Clear selection
Will your child attend Study Hall for the full week or only on specific days (please check the box by the specific days)?
If your child will be attending Study Hall for 2+ weeks, do you want them to take advantage of the complimentary academic assessment provided by Sylvan Learning Center?
Clear selection
Each learning pod is comprised of 10 students. We will do our best to put siblings/friends together but cannot guarantee it. Please list anyone you wish your child (children) to be with:
Are you interested in our extended care option (3 - 6 pm)?
Is there anything you want us share with us?
Parent name
Parent phone number
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