Recess-Registration (4kids) | The Learning Pal

I certify that the information I have provided herein is true and accurate and that I am the parent or legal guardian authorized to sign this form, releases and waivers.

I do hereby give permission to The Learning Pal LLC to use my child’s image/likeness on video or a photographic picture of my child on the website (www.thelearningpal.com), newspapers, magazines, television or other mediums used to promote The Learning Pal services, activities and/or for marketing purposes. Usage of this picture may include the use of my child’s first name along with an article or other content about The Learning Pal. I understand that there will be no remuneration for the use of any likeness of my child used for the purposes stated above. At my request, The Learning Pal will provide me with copies of any articles, brochures or mediums (if available) in which my child’s picture or likeness has been used.

I agree to The Learning Pal Cancellation and Refund Policy. ViewPolicy

Student Registration

Recess Plan-10hrs/week (4 children)

Customer/Parent Contact

Home Environment

This information will ensure we make the best Learning Pal match for your family. We'd hate to match you with a Learning Pal that is afraid of your fur baby.

Plan Details/Schedule

Recess Plan-10hrs/week (4 children)

Rate: $1000/week

Sessions may be scheduled between the hours of 7am-7pm

If this plan is being shared please send the link below to the parent/guardian with whom you are sharing the plan. They will be required to complete a registration for their student(s).

https://www.thelearningpal.com/secondary-family-registration

Student #1

Student #2

Student #3

Student #4