Secondary Family Registration

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

Plan Share- Secondary Student Registration

If you are sharing The Learning Pal services with another family, please use this form to register your student(s). Please note, your student will be added to the service plan selected by the family that completed the Primary Student Registration Form.

Customer/Parent Contact

Student #1

Student #2

Student #3