Uplift Writing New Customer Registration

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Thanks for registering with Uplift Writing!

After completing the form you will see a link to enter your PAYMENT INFORMATION where you will be asked to enter your name and address again - we are sorry about this but the two accounting software and payment systems are separate.

You only need to fill out each form ONE time even if you have more than one child receiving tutoring but please fill in all fields.

If your credit card is declined in the future for any reason, we will send you an invoice with a link to a simplified Payment Authorization Form. You won't need to fill in this google form again.

Current Tutoring Rates:
Minimum 1 hour sessions except for special arrangements.
Appointments are charged as time booked plus any additional time.
General Reading, Writing: 128/hr
Advanced, Intensive, Honors, AP, IB: 138/hr
Test Prep such as SAT, ACT, ISEE, SSAT: 168/hr

Admissions Consulting and Essay Review: 188/hr

Same Day Bookings: $30/hr Extra to help ensure tutor availability

Dylan and Will's rates are not included above. Please inquire with us.

Cancellation and Change Policy:
Changes or Cancellations made for any reason after 5pm two days prior to appointment: quarter-charge.
Changes or Cancellations made for any reason after 5pm one day prior to appointment: half-charge.
Changes or Cancellations made for any reason the day of appointment: full-charge.

Many Thanks!
-Uplift

Email *

First Name *

Last Name *

Cell Phone formatted as: ### ### #### *

Home Phone formatted as: ### ### ####

Mailing Address Line 1 *

Mailing Address Line 2 (for Apt. or Suite #)

City *

State formatted as: XX *

Zip Code formatted as ##### or #####-#### *

Student Name

Student School

High School Grad Year (2033 – “current grade”)

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