GreenwichAcademic.com (Fairfield, CT and Westchester, NY tutoring and academic coaching)

Enrollment
There are three ways to enroll

By Phone
Call 203-912-9816 anytime to enroll and pay over the phone.

By Mail
Download and print the enrollment form and questionnaire. Mail it with your check or money order. (download)

Online
Fill out the online form below, and pay by credit card through our secure online service on the next page.
Also, download the Student Questionnaire in Word format for your child to fill out, and email it back to us. (download)

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Enroll your teen in the session: August 6-18.

Parent's information:

First Name

Last Name

Address

City

State

Zip Code

Home Phone

Mom's Cell / Work Phone

Dad's Cell / Work Phone

E-mail

Alternate E-mail

Emergency Contact Name

Emergency Contact Phone

Student's Information:

First Name

Last Name

Sex Male Female

Age

Entering Grade

Enrolling a second child?

First Name

Last Name

Sex Male Female

Age

Entering Grade

How did you hear about us?

Below are four questions for you to answer so we have a better understanding of the student entering the Program.

1. This is a program hinged on group interaction and positive class contribution. How will your child respond to and contribute to such an environment?

2. What are you most proud of about your child?

3. What do you see as some of your child's main personal strengths?

4. What do you most hope that your child will gain from this program?

Before enrolling, please make sure that all your information is correct.

Questons? Call or email:
203-912-9816
summer@greenwichacademic.com