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HWC Only Sign up Form

After you complete this form, you will be sent a scheduling link and a billing link. If you have any questions please reach out to Karen at kwilkinson@untappedlearning.com

Student Information

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Is your student on, or will they be on, academic probation?(Required)
Does your student have any siblings currently enrolled in an Untapped Learning program?(Required)
Does your student have any of the following diagnoses?

Parent/Legal Guardian Information

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Program Information

Pay with a credit card or online bank authorization (direct debit). Credit cards incur a 2.9% convenience fee.

Program Policies Agreement

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Homework Center Only

$50 / week

Note: A 2.9% convenience fee applies to credit card payments.

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