Welcome to Innovate Learning Hub’s After-School Program Enrollment Form.

At Innovate Learning Hub, we equip students with the knowledge, skills, and confidence to thrive in Math, English Language Arts, Reading, STEM, Coding, and Robotics.

Our programs strengthen academic foundations while building creativity, critical thinking, and future-ready skills in a structured, supportive environment.

We offer both in-person and online options to support your family’s schedule.

Sibling Discount: Use promo code SIB10 to receive 10% off for additional siblings.

Please complete the form below so we can best support your child’s academic growth and success.

How many students are you enrolling? *

Start Date *

Choose the number of sessions *

N.B: We will tailor the sessions to your child's need and can have a mix of math, ELAR, coding and robotics.

Mode of Delivery *

Parent First Name *

Parent Last Name *

Address

Street Address

City

State

Country

Postal Code

Phone *

Email *

Emergency Contact - First and Last Name *

Emergency Contact - Phone Number *

Are there any health, or behavioral problems that could impact child's learning that we need to be aware of? *

Yes

Please note that Innovate Learning Hub provides an inclusive learning environment and we take this information seriously - we will protect your child's privacy but also make use of this information to ensure we provide your child the support required.

If yes, enter details

If enrolling more than one child, please specify child with the condition.

By proceeding, you acknowledge that you have read and agree to the Parent and Student Handbook, our Refund and Cancelation Policy, as well as the Program waiver (all linked below on our website).

Yes

By checking this box, I consent to receive non-marketing text messages from INNOVATE LEARNING HUB about your enrollment. Message frequency varies, message & data rates may apply. Text HELP for assistance, reply STOP to opt out.

By checking this box, I consent to receive marketing and promotional messages including special offers, discounts, new product updates among others from INNOVATE LEARNING HUB. Message frequency varies, message & data rates may apply. Text HELP for assistance, reply STOP to opt out.

Select Mode of payment