Admission Form

Welcome to Carthagena Learning Academy! Please complete the admission form below to enroll your child in our tutoring courses. Ensure all required fields are filled accurately. Our team will review your application and contact you with the next steps.

Admission Form

(CLA) Tutor Program Agreement

As a parent, I understand that my child is responsible for their progress while in the program. This will depend on how hard my child works and their attitude during sessions. I understand that the tutor will provide guidance and support but will not complete work on behalf of my child.

I Agree:

My child will attend all scheduled virtual tutoring sessions.
My child will have access to a stable internet connection, a quiet learning environment, and the necessary technology (e.g., laptop/tablet, webcam, microphone).
Services will last for the agreed-upon academic term.
Special holidays will be recognized and honored according to the tutoring schedule.

I have read and agree to the Tutor Program Agreement

No Liability Insurance and Acknowledgments

My signature confirms that I understand and assume ALL RISKS when my child participates in virtual tutoring with Carthagena Learning Academy. This includes but is not limited to technical issues, internet disruptions, and any external factors affecting online learning.

During virtual sessions, Carthagena Learning Academy is not responsible for any inappropriate content that my child may access online. Parental supervision is required to ensure a safe and appropriate learning environment.

I have read and agree to the No Liability Insurance and Acknowledgments

Photography Authorization

Carthagena Learning Academy may record virtual sessions for educational and quality assurance purposes. These recordings will not be shared publicly without consent. Screenshots or video clips may be used for promotional purposes on the academy’s website, newsletters, or social media.

Photography Permission:

Yes, I grant permission for my child to be recorded or have their image used for promotional and educational purposes.

No, I do not grant permission for my child to be recorded or have their image used.

I have completed the Photography & Recording Authorization section.

Pricing

Registration Fee

There is a mandatory non-refundable registration fee of $50 per child. It must be paid in full upon enrollment or re-enrollment.

Withdrawal/Termination

A two weeks notice of intent to withdraw is requested. No refunds will be issued.

Methods of payment: Debit/Credit/Zelle/Cashapp/PayPal

I have read and agree to the Pricing information

Parent/Guardian Name:

Date:

Important: You must complete all required agreements, including checking all agreement boxes, selecting photography permission, and providing your name and date before you can access the Student Information section.

Success! All required agreements have been completed and signed. You can now complete the student information section below.

Note: If you return to the Agreements section and make changes, you must ensure all agreements remain complete.

Name of Student:

Phone:

Age:

Date of Birth:

Name of Parent or Guardian:

Street Address:

State:

Zip Code:

Email:

School Attending:

Teacher's Name:

Grade:

Please Indicate the area(s) in which help is needed:

Special Education: