Enrollment Form

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- Step 1 of 5

Session Type Selection *

In-Person Learning
Virtual Learning

You're all set! Learn from anywhere, anytime—home, vacation, wherever life takes you!

In-Person Learning Location *

Please select the location of the Sapience Center where you wish to enroll the student.

Awesome news! Virtual sessions are now unlocked. You’ve got the freedom to switch between our center and online—your choice, your way!

In-Person Learning Location for Hybrid Learning

Please select the location of the Sapience Center where you wish to enroll the student for Hybrid Learning.

Want even more flexibility? Add a nearby center, so your child can attend in-person whenever it suits you!

Core Training (Price)

Advantage Training (Price)

Excellence Training (Price)

Admin & Resources Fee (Price)

Coupons Disclaimer Selector - Form

Coupons Disclaimer Selector - Email

Coupons Disclaimer - Form

Coupons Disclaimer - Email

Applied Coupon Code

Advantage Training Day Camp (Price)

Excellence Training Day Camp (Price)

After Hours (Price)

30 Minutes

60 Minutes

90 Minutes

120 Minutes

Mental Math Training (Price)

Coding, Robotics and AI Training (Price)

Prompt Engineering Training (Price)

Public Speaking Training (Price)

Communication Training (Price)

Primary Parent Information *

Primary Parent First Name *

Primary Parent Last Name *

Email *

Phone *

Secondary Parent / Guardian Information

Secondary Parent First Name

Secondary Parent Last Name

Secondary Email Address

Secondary Parent's Phone Number

Address *

Address Line 1

City

State

Zip Code

How many students are enrolling today?

Sibling Scholar Reward: All students receive a 5% discount when siblings enroll together.

Billing Method

Drop-in
Subscription (Cancel Anytime)

Subscription Saver Reward: Receive a 5% discount on all plans with a subscription.

Success! Your sibling discount is now applied.

Great! Your subscription discount is now applied.

Subscription Coupon Amount

Advantage Coupon Percentage

Mental Math Coupon Percentage

Drop-in Coupon Percentage

Excellence Coupon Percentage

Coding, Robotics and AI Training Coupon Percentage

Training Day Camp Advantage Coupon Percentage

Prompt Engineering Training Coupon Percentage

Training Day Camp Excellence Coupon Percentage

Public Speaking Training Coupon Percentage

Training Day Camp Coupon Percentage

Communication Training Coupon Percentage

Enrolled Student

Enrolled Student - First Name *

Enrolled Student - Last Name *

Enrolled Student - Gender *

Enrolled Student - Date of Birth *

Enrolled Student - Current Grade Level *

Please mention the grade the child is currently in.

Enrolled Student - Group of School *

Please mention the group of school the child currently attends.

Enrolled Student - School Name *

Please mention the name of the school the child currently attends.

Enrolled Student - Allergies

List any allergies your child has.

Enrolled Student - Non Academic Instructions

Please mention Non Academic Instructions (if any)

Enrolled Student - Preferred Program for Drop-In *

Enrolled Student - Preferred Subject *

Enrollment Structure for Subscription

Please review our subscription options. Subscriptions are billed weekly every Saturday through an auto-recurring method. Each subscription covers the upcoming week, starting on Monday and ending on Sunday. This structure ensures flexibility and transparency in our billing process.

All prices listed below are applicable per student.

Academic Services

Enrolled Student - Academic Service

Choose one of the following academic services

Enrolled Student - Academic Service Number of Days per Week

Select the number of days per week your child will attend

Enrolled Student - Academic Service Duration per Session

Select the duration for each session.

Digital Age Excellence Training

Enrolled Student - Digital Training

Choose one of the following digital age services

Enrolled Student - Digital Training Number of Days per Week

Select the number of days per week your child will attend

Enrolled Student - Digital Training Duration per Session

Select the duration for each session.

Enrolled Student - Academic Services Total

Enrolled Student - Day Camp Total

Enrolled Student - Digital Age Excellence Training Total

Educational Training Day Camp

Note: Subscription for Educational Training Day Camp is not available. It is available only on a drop-in billing basis.

Start Date for Subscription

Enrolled Student - Start Date for Subscription

What Schedule Works Best for You?

Enrolled Student - What Schedule Works Best for You? *

Total Weekly Subscription

Total weekly cost based on selected sessions and services. The week starts on Monday and ends on Sunday.

Total Weekly Subscription w/o $

Total weekly cost based on selected sessions and services. The week starts on Monday and ends on Sunday.

First Enrolled Student

First Enrolled Student - First Name *

First Enrolled Student - Last Name *

First Enrolled Student - Gender *

First Enrolled Student - Date of Birth *

First Enrolled Student - Grade *

Please mention the grade the child is currently in.

First Enrolled Student - Group of School *

Please mention the group of school the child currently attends.

First Enrolled Student - School Name *

Please mention the name of the school the child currently attends.

First Enrolled Student - Allergies

List any allergies your child has.

First Enrolled Student - Non Academic Instructions

Please mention Non Academic Instructions (if any)

First Enrolled Student - Preferred Program for Drop-In *

First Enrolled Student - Preferred Subject *

Enrollment Structure for Subscription

All prices listed below are applicable per student.

Academic Services

First Enrolled Student - Academic Service

Choose one of the following academic services

First Enrolled Student - Academic Service Number of Days per Week

Select the number of days per week your child will attend

First Enrolled Student - Academic Service Duration per Session

Select the duration for each session.

Digital Age Excellence Training

First Enrolled Student - Digital Training

Choose one of the following digital age services

First Enrolled Student - Digital Training Number of Days per Week

Select the number of days per week your child will attend

First Enrolled Student - Digital Training Duration per Session

Select the duration for each session.

First Enrolled Student - Academic Services Total

First Enrolled Student - Day Camp Total

First Enrolled Student - Digital Age Excellence Training Total

Educational Training Day Camp

Note: Subscription for Educational Training Day Camp is not available. It is available only on a drop-in billing basis.

Start Date for Subscription

What Schedule Works Best for You?

First Enrolled Student - Start Date for Subscription *

First Enrolled Student - What Schedule Works Best for You? *

Cost - First Enrolled Student

Total weekly cost for the first enrolled student based on selected sessions and services. The week starts on Monday and ends on Sunday.

Second Enrolled Student

Second Enrolled Student - First Name *

Second Enrolled Student - Last Name *

Second Enrolled Student - Gender *

Second Enrolled Student - Date of Birth *

Second Enrolled Student - Grade *

Please mention the grade the child is currently in.

Second Enrolled Student - Group of School *

Please mention the group of school the child currently attends.

Second Enrolled Student - School Name *

Please mention the name of the school the child currently attends.

Second Enrolled Student - Allergies

List any allergies your child has.

Second Enrolled Student - Non Academic Instructions

Please mention Non Academic Instructions (if any)

Second Enrolled Student - Preferred Program for Drop-In *

Second Enrolled Student - Preferred Subject *

Enrollment Structure for Subscription

All prices listed below are applicable per student.

Academic Services

Second Enrolled Student - Academic Service

Choose one of the following academic services

Second Enrolled Student - Academic Service Number of Days per Week

Select the number of days per week your child will attend

Second Enrolled Student - Academic Service Duration per Session

Select the duration for each session.

Digital Age Excellence Training

Second Enrolled Student - Digital Training

Choose one of the following academic services

Second Enrolled Student - Digital Training Number of Days per Week

Select the number of days per week your child will attend

Second Enrolled Student - Digital Training Duration per Session

Select the duration for each session.

Second Enrolled Student - Academic Services Total

Second Enrolled Student - Day Camp Total

Second Enrolled Student - Digital Age Excellence Training Total

Educational Training Day Camp

Note: Subscription for Educational Training Day Camp is not available. It is available only on a drop-in billing basis.

Start Date for Subscription

What Schedule Works Best for You?

Second Enrolled Student - Start Date for Subscription *

Second Enrolled Student - What Schedule Works Best for You? *

Cost - Second Enrolled Student

Total weekly cost for the second enrolled student based on selected sessions and services. The week starts on Monday and ends on Sunday.

Third Enrolled Student

Third Enrolled Student - First Name *

Third Enrolled Student - Last Name *

Third Enrolled Student - Gender *

Third Enrolled Student - Date of Birth *

Third Enrolled Student - Grade *

Please mention the grade the child is currently in.

Third Enrolled Student - Group of School *

Please mention the group of school the child currently attends.

Third Enrolled Student - School Name *

Please mention the name of the school the child currently attends.

Third Enrolled Student - Allergies

List any allergies your child has.

Third Enrolled Student - Non Academic Instructions

Please mention Non Academic Instructions (if any)

Third Enrolled Student - Preferred Program for Drop-In *

Third Enrolled Student - Preferred Subject *

Enrollment Structure for Subscription

All prices listed below are applicable per student.

Academic Services

Third Enrolled Student - Academic Service

Choose one of the following academic services

Third Enrolled Student - Academic Service Number of Days per Week

Select the number of days per week your child will attend

Third Enrolled Student - Academic Service Duration per Session

Select the duration for each session.

Digital Age Excellence Training

Third Enrolled Student - Digital Training

Choose one of the following digital age services

Third Enrolled Student - Digital Training Number of Days per Week

Select the number of days per week your child will attend

Third Enrolled Student - Digital Training Duration per Session

Select the duration for each session.

Third Enrolled Student - Academic Services Total

Third Enrolled Student - Day Camp Total

Third Enrolled Student - Digital Age Excellence Training Total

Educational Training Day Camp

Note: Subscription for Educational Training Day Camp is not available. It is available only on a drop-in billing basis.

Start Date for Subscription

What Schedule Works Best for You?

Third Enrolled Student - Start Date for Subscription *

Third Enrolled Student - What Schedule Works Best for You? *

Cost - Third Enrolled Student

Total weekly cost for the third enrolled student based on selected sessions and services. The week starts on Monday and ends on Sunday.

Fourth Enrolled Student

Fourth Enrolled Student - First Name *

Fourth Enrolled Student - Last Name *

Fourth Enrolled Student - Gender *

Fourth Enrolled Student - Date of Birth *

Fourth Enrolled Student - Grade *

Please mention the grade the child is currently in.

Fourth Enrolled Student - Group of School *

Please mention the group of school the child currently attends.

Fourth Enrolled Student - School Name *

Please mention the name of the school the child currently attends.

Fourth Enrolled Student - Allergies

List any allergies your child has.

Fourth Enrolled Student - Non Academic Instructions

Please mention Non Academic Instructions (if any)

Fourth Enrolled Student - Preferred Program for Drop-In *

Fourth Enrolled Student - Preferred Subject *

Enrollment Structure for Subscription

All prices listed below are applicable per student.

Academic Services

Fourth Enrolled Student - Academic Service

Choose one of the following academic services

Fourth Enrolled Student - Academic Service Number of Days per Week

Select the number of days per week your child will attend

Fourth Enrolled Student - Academic Service Duration per Session

Select the duration for each session.

Digital Age Excellence Training

Fourth Enrolled Student - Digital Training

Choose one of the following digital age services

Fourth Enrolled Student - Digital Training Number of Days per Week

Select the number of days per week your child will attend

Fourth Enrolled Student - Digital Training Duration per Session

Select the duration for each session.

Fourth Enrolled Student - Academic Services Total

Fourth Enrolled Student - Day Camp Total

Fourth Enrolled Student - Digital Age Excellence Training Total

Educational Training Day Camp

Note: Subscription for Educational Training Day Camp is not available. It is available only on a drop-in billing basis.

Start Date for Subscription

What Schedule Works Best for You?

Fourth Enrolled Student - Start Date for Subscription *

Fourth Enrolled Student - What Schedule Works Best for You? *

Cost - Fourth Enrolled Student

Total weekly cost for the fourth enrolled student based on selected sessions and services. The week starts on Monday and ends on Sunday.

Fifth Enrolled Student

Fifth Enrolled Student - First Name *

Fifth Enrolled Student - Last Name *

Fifth Enrolled Student - Gender *

Fifth Enrolled Student - Date of Birth *

Fifth Enrolled Student - Grade *

Please mention the grade the child is currently in.

Fifth Enrolled Student - Group of School *

Please mention the group of school the child currently attends.

Fifth Enrolled Student - School Name *

Please mention the name of the school the child currently attends.

Fifth Enrolled Student - Allergies

List any allergies your child has.

Fifth Enrolled Student - Non Academic Instructions

Please mention Non Academic Instructions (if any)

Fifth Enrolled Student - Preferred Program for Drop-In *

Fifth Enrolled Student - Preferred Subject *

Enrollment Structure for Subscription

All prices listed below are applicable per student.

Academic Services

Fifth Enrolled Student - Academic Service

Choose one of the following academic services

Fifth Enrolled Student - Academic Service Number of Days per Week

Select the number of days per week your child will attend

Fifth Enrolled Student - Academic Service Duration per Session

Select the duration for each session.

Digital Age Excellence Training

Fifth Enrolled Student - Digital Training

Choose one of the following digital age services

Fifth Enrolled Student - Digital Training Number of Days per Week

Select the number of days per week your child will attend

Fifth Enrolled Student - Digital Training Duration per Session

Select the duration for each session.

Fifth Enrolled Student - Academic Services Total

Fifth Enrolled Student - Day Camp Total

Fifth Enrolled Student - Digital Age Excellence Training Total

Educational Training Day Camp

Note: Subscription for Educational Training Day Camp is not available. It is available only on a drop-in billing basis.

Start Date for Subscription

What Schedule Works Best for You?

Fifth Enrolled Student - Start Date for Subscription *

Fifth Enrolled Student - What Schedule Works Best for You? *

Cost - Fifth Enrolled Student

Total weekly cost for the fifth enrolled student based on selected sessions and services. The week starts on Monday and ends on Sunday.

Grand Total for Subscription

Total Cost Subscription

Combined total weekly costs for all students based on selected sessions and services. The week starts on Monday and ends on Sunday.

Total Cost Subscription w/o $

Combined total weekly costs for all students based on selected sessions and services. The week starts on Monday and ends on Sunday.

Drop-in Billing Rate and Duration

Please review our hourly rates. Upon your child's attendance, an invoice will be created based on the duration of the session at the hourly rate. Sessions are billed with a minimum duration of 30 minutes and a maximum duration of 120 minutes. This ensures both flexibility and transparency in our billing process.

Parents will not be charged until services begin. Payment is required only for the services used.

Academic Services

Drop-in - Advantage Training Amount

Advantage Training

Drop-in - Excellence Training Amount

Excellence Training

Educational Training Day Camp

Drop-in - Advantage Training Day Camp Amount

Drop-in - Excellence Training Day Camp Amount

Drop-in - After Hours Per Day Amount

After Hours Per Day

Digital Age Excellence Training

Drop-in - Mental Math Training Amount

Mental Math Training

Drop-in - Coding, Robotics and AI Training Amount

Coding, Robotics & AI Training

Drop-in - Prompt Engineering Training Amount

Prompt Engineering Training

Drop-in - Public Speaking Training Amount

Public Speaking Training

Drop-in - Communication Training Amount

Communication Training

Drop-in - Advantage Training Day Camp Amount w/o $

Advantage Training Day Camp

Drop-in - Advantage Training Amount w/o $

Advantage Training

Drop-in - Excellence Training Amount w/o $

Excellence Training

Drop-in - Mental Math Training Amount w/o $

Mental Math Training

Drop-in - Excellence Training Day Camp Amount w/o $

Excellence Training Day Camp

Drop-in - After Hours Per Day Amount w/o $

After Hours Per Day

Drop-in - Public Speaking Training Amount w/o $

Public Speaking Training

Drop-in - Coding, Robotics and AI Training Amount w/o $

Coding, Robotics & AI Training

Drop-in - Prompt Engineering Training Amount w/o $

Prompt Engineering Training

Drop-in - Communication Training Amount w/o $

Communication Training

Handled by You or an Educator? *

Indicate who managed the completion of this form. If you handled it personally, please enter ‘Self.’ If an educator assisted with the process, enter their name.

Additional Coupon (If Applicable)

Pricing Confirmation *

I acknowledge that the price shown includes any applicable discounts and an Admin & Resources Fee of 3.95%, and that this is the final billable amount.

Disclaimer: The prices listed above are subject to change in the future. Please verify current prices.

Pricing Confirmation *

I acknowledge that the price shown includes any applicable discounts and an Admin & Resources Fee of 3.95%, and that this is the final billable amount.

Disclaimer: The prices listed above are subject to change in the future. Please verify current prices.

Pickup Authorization

Authorized Pickup Person(s)

List the names of individuals authorized to pick up your child.

Relationship to Student

Specify the relationship of each authorized person to the student.

Contact Number

Provide a contact number for each authorized person.

Please let us know immediately in the event of any changes to the pickup authorization information for safety purposes. If you wish to allow your child to walk home by themselves, please mention the student's name and ensure the student is at least 12 years old.

Educational Services History *

Has your child received educational services beyond the school or home setting?

Previous Educational Services Location *

Where did your child previously receive educational services?

Where Did You First Discover Us? *

Referred by a Trusted Member of Our Community
Digital World
Another Way

We’d love to know

Discovery Source Detail *

Affiliate Referral Code *

Sapience Policies

Welcome to Sapience! At Sapience, we pride ourselves on delivering premier educational services with unparalleled convenience and flexibility. Our thoughtfully crafted terms and conditions are designed to meet the diverse needs of every family, ensuring that each student reaps the full benefits of our transformative programs. From adaptable scheduling and seamless billing options to personalized learning plans, our policies epitomize ease, transparency, and excellence. We are committed to providing a distinguished and accommodating experience, making Sapience the ultimate choice for your child's educational.
Endorsement: These policies are endorsed and enacted by our staff and management team, reaffirming our commitment to the highest standards of academic excellence and integrity in the educational advancement of our students.

Acceptance of Terms  *

I, the undersigned, acknowledge and agree to the Terms & Conditions set forth by The Sapience LLC (DBA "SAPIENCE"). I understand that all information, including the content available at www.thesapience.com/policy, and any services provided by The Sapience LLC, are subject to these Terms & Conditions. I am aware that The Sapience LLC reserves the right to update or modify the Terms & Conditions at any time and will notify me of any changes.

Conclusion

These policies are designed to ensure the highest standards of safety, quality, and flexibility for our students and their families. We appreciate your trust in Sapience Tutoring and are dedicated to providing an exceptional educational experience. For any questions or further information, please contact us:

Call or text: 702-751-6711

Call only: 800-787-1778

Email: Support@thesapience.com

Thank you for choosing Sapience Tutoring. We are committed to fostering a positive, supportive, and enriching learning environment for all our students.

Online Signature *

By selecting this field, I agree that my electronic signature on this form is as valid as a handwritten one. I understand and accept the terms and conditions of The Sapience LLC and confirm that the information provided is accurate. I trust that if I have any questions or need further clarification, the Sapience team is readily available to assist me. This process ensures a seamless and supportive experience for everyone involved.

Primary Parent's Name

Primary Parent's Name *

Primary Parent's Signature

Primary Parent's Signature *

Clear Signature

Enrollment Form

Primary Parent Information *

Secondary Parent / Guardian Information

Enrolled Student

Academic Services

Digital Age Excellence Training

Educational Training Day Camp

Start Date for Subscription

What Schedule Works Best for You?

Total Weekly Subscription

First Enrolled Student

Academic Services

Digital Age Excellence Training

Educational Training Day Camp

Start Date for Subscription

What Schedule Works Best for You?

Cost - First Enrolled Student

Second Enrolled Student

Academic Services

Digital Age Excellence Training

Educational Training Day Camp

Start Date for Subscription

What Schedule Works Best for You?

Cost - Second Enrolled Student

Third Enrolled Student

Academic Services

Digital Age Excellence Training

Educational Training Day Camp

Start Date for Subscription

What Schedule Works Best for You?

Cost - Third Enrolled Student

Fourth Enrolled Student

Academic Services

Digital Age Excellence Training

Educational Training Day Camp

Start Date for Subscription

What Schedule Works Best for You?

Cost - Fourth Enrolled Student

Fifth Enrolled Student

Academic Services

Digital Age Excellence Training

Educational Training Day Camp

Start Date for Subscription

What Schedule Works Best for You?

Cost - Fifth Enrolled Student

Grand Total for Subscription

Academic Services

Educational Training Day Camp

Digital Age Excellence Training

Pickup Authorization

Sapience Policies

Conclusion

Primary Parent's Name

Primary Parent's Signature

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