2022 - 2023  School Year Signup
SCROLL DOWN TO CLASS 1 AND CLICK ON THE POPUP MENU TO SEE A LIST OF CURRENTLY AVAILABLE CLASSES.

PLEASE READ ALL OF THIS!

IF YOU EDIT THIS FORM AFTER YOU RECEIVE AN INVOICE, PLEASE EMAIL INFO@SIMONABC.COM TO LET US KNOW.

Classes Named "Choice" will offer the choice of in-person or online attendance.  Classes labeled "Online" will be online only.  All students will always be allowed to stay online if they so choose.  We have offered online classes since long before COVID-19.  

Once we receive this form, we will confirm availability then send an invoice or contact you to give alternative times. We take payments via digital check/ACH transfer through our provider, Bill & Pay.  Payment must be completed within 48 hours of invoicing to secure a spot.  Delays mean the spot will go to someone else.

DISCOUNTS - ALL DISCOUNTS ARE CUMULATIVE! 
Loyalty Discount - 5% off for previous full-school-year students signing up for a new full school year.
Summer Discount - 4 summer courses from 2022 gives 5% off fall 2022-23 classes.  3 summer courses gives 3.5% off. 2 summer courses = 2% off. 1 summer course = 1% off.  This is for an individual student, not a family.
Brother/Sister Discount - 5% off.  Sorry, no cousins or friends.  No group discounts for the school year.
Second Class Discount - Add a reading class!  Sign up for two full school year classes to receive 15% off the second class only. Only for the same student.  This is not a sibling discount, and classes from previous terms do not count as the first class. These discounts will be applied to the lesser-priced class if there is a difference in price.

PLEASE PUT THE BEST PARENT CONTACT EMAIL IN THE NEXT BLANK.
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Email *
Status *
This just makes it easier for us to sort.  Please choose the most accurate answer. Answering incorrectly just slows our response time.
Student Name *
NOT PARENT NAME!  First middle last.  If there is no middle name, give a home-language name or nickname.
Student Date of Birth *
MM
/
DD
/
YYYY
Grade *
GATE?
School *
2022-23
Student Email
Street Address *
Example: 40979 Fremont Boulevard
City *
State *
Put country here if not in the USA.
ZIP Code *
Parent/Guardian 1 Name (First and Last) *
Parent/Guardian 1 Email *
Parent/Guardian 1 Cell Number *
Example: 5109121212
Parent/Guardian 2 Name (First and Last)
Parent/Guardian 2 Email
Parent 2 Cell Number
Example: 5109121212
Class 1 *
Grade Subject Day Time Teacher Price Status Class ID The price varies by rate.  The Normal Rate covers 8:1 groups with all teachers but Mr. Simon. The Private Rate is for 1:1 classes.  College Counseling has a separate rate.  Classes with Mr. Simon will have the choice of being in person or online.  Students will always have the option to stay online, no matter the class.
Pricing 2022-2023 School Year
Class 1 Number of Classes *
ALL PRICES ARE PREPAID.  Upgrading from the 5-class package involves a $100 fee for the flexibility.
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