About Your Family
Let's start with the basics .
Information we need to know about your student and how to reach you.
Student Information
Any Special Accommodations or EIPs? (optional)
Parent / Guardian Information
Which Program Interests You? *
Academic Tutoring Subject support, homework help, foundational skills (K–12)
Summer Enrichment 6-week intensive — Math & ELA mastery (June or July)
Test Prep SAT, ACT, PSAT, SSAT, GED, or Other
Learning Enrichment Project-based learning, critical thinking, advanced skill-building
College Coaching Application strategy, essays, school list, interview prep
Cognitive Skills / Agility Training Focus, memory, processing speed, executive function
Selected:
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📘 Academic Tutoring
Personalized Subject Mastery .
Tell us where your student needs the most support.
☀ Summer Enrichment
Set them up to thrive next year.
Choose your preferred session timing and subject focus.
Which session works best?
What are your goals for the summer? (optional)
📝 Test Prep
From preparation to performance.
Help us understand your student's testing goals and timeline.
🎓 Learning Enrichment
Beyond the classroom .
Tell us what's most exciting for your student.
Areas of interest (select all that apply)
What are your goals for enrichment? (optional)
🎓 College Coaching
From application to acceptance .
Tell us where your student is on their college journey.
What support is needed? (select all that apply)
Target colleges or types (optional)
🧠 Cognitive Agility
We don't reteach.retrain the brain.
Help us understand your student's primary cognitive needs.
Primary concerns (select all that apply)
Existing diagnoses or evaluations (optional, confidential)
Selected:
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Goals & Context
Help us understand your why .
A few quick questions to make your consultation as productive as possible.
What does success look like for your child? (optional)
What concerns or hesitations do you have? (optional)
How did you hear about us? (optional)
Select…
Referral from a friend or family member
Google search
Facebook
Nextdoor
Instagram
School recommendation
Other
Who referred you? (we'd love to thank them!)
Selected:
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Commitment & Next Steps
Almost there .
Last few questions to help us schedule and structure your child's program.
Preferred Session Format *
Preferred Weekly Frequency *
Preferred Program Start Timeframe *
Anything else we should know? (optional)
✓
Thank you, friend
Your intake has been submitted. Caroline will personally review your responses and follow up within 24 hours. You should also receive a confirmation email at your inbox with your responses.
Want to skip the wait? Book your free 30-minute consultation now.