Lively Laser Tag Student Enrollment Form

Thank you for your interest in joining Learn To Be. The following form should take no longer than 15 minutes and should be completed by a parent or guardian. Please complete this form thoroughly. The more detail you can provide, the better we can match you with a tutor to meet your needs.
Generally a parent/guardian email.
Another email we'll send updates to.
5 digits (eg, 92807 or 11222). This information is never publicly released.
10 digits. Format: 2223334444
Individual student information is never publicly released.
Please select one subject you need help with for now. After you're enrolled, we can help you with other subjects if you need. But let's start with just one subject.
Only select yes if a spanish speaking tutor is REQUIRED. If it is only preferred, mention it in one of the free response questions.
150 character minimum. Click here to see an example response we loved.
300 character minimum. Click here to see an example response we loved.
Please don't worry if you are unable to pay. It has no bearing on your application.

Optional Questions

We're happy to help for as long as you need.