Program Details

Book your spot in the My Genius Zone Study Club. Enrolments close October 25.

Name of parent

First Name

Last Name

Phone

(###)

###

####

Country and State

Suburb

Name of student

First Name

Last Name

Grade

School

Student Information

What are some of your concerns about your child's academics (if any), and what are you looking for out of the program?

Additional Students

Are there other children (e.g. siblings, cousins, friends) that you are considering enrolling into the My Genius Zone Study Club and/or other coaching programs? Please share their names, age/grades, what program you are interested in, and what their specific needs and goals are.

Availability to attend weekly workshops

Please tick all the slots that you are free to attend the weekly workshop. We try to place students into groups with other students with complementary learning preferences and needs, and it helps if students have some flexibility with which days they attend.

Monday, 5:30 - 7 pm AEDT

Tuesday, 5:30 - 7 pm AEDT

Wednesday, 5:30 - 7 pm AEDT

Thursday, 5:30 - 7 pm AEDT

Friday, 5:30 - 7 pm AEDT

Questions/Requests

Do you have any questions or requests (e.g. for information, alternative session times etc) for us? We will get back to you with a response ASAP.