Parent Sign-Up | Growing Brilliance 1

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Parent Sign-Up Form

Get our concierge student/teacher connection service for just $100

First Name

Email

Address

1st Child's Name

2nd Child's Name

I am seeking a teacher to: * Required

Provide Individual Instruction

Create a New Cohort

Join an Existing Cohort

Last Name

Phone Number

City, State, Zip

1st Child's Age/Grade

2nd Child's Age/Grade

What else can you tell us about your teacher needs:

Thanks for your order!

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