Who are you completing this form for? *

I am a student completing this for myself

I am a parent completing this for my child

Which grade is your teen currently in? *

Grade 9

Grade 10

Grade 11

Grade 12

Which subjects should we focus on improving? *

Math

Physics

Chemistry

Biology

All our teachers are bilingual! Which language do you prefer for the sessions? *

English

French

What is your teen’s main challenge at the moment? *

What do you feel is preventing your teen from reaching their goals? *

What is Their Current Average *

All our students achieve their objectives. Are you ready to invest in yourself to achieve a 90+ average too? *

Yes, I am ready to invest to change my results

No, I am not ready to invest and show progress

If your teen is accepted, when would you like them to get started? *

Right away!

Sometime this week

I’m not sure yet, I have trouble making a decision

Student's Name

Student First Name *

Student Last Name *

Parent / Guardian's Name

First Name *

Last Name *

Parent / Guardian's Contact Info

Phone *

Email *