Student Information Form

Welcome to CLASS! We look forward to working with you to help you reach your academic goals.

Please take a moment to complete the Student Information Form. All information is confidential and is used for recording and scheduling purposes. If you have more than one student, please select "Add Student" at the bottom of the form to add additional students. Please complete the entire form; all fields are required. You will be notified immediately upon successful submission of your form that it has been received. Please do not resubmit your information form; doing so could cause a delay in processing it.

If you have any questions, please call us at (901) 417-6636 or email us at [email protected].
PARENT/GUARDIAN INFORMATION
STUDENT INFORMATION
EMERGENCY INFORMATION
CONSENT TO TUTOR
STUDENT DRIVER RELEASE
PHOTO RELEASE
Add Fields for Additional Student