LEARNING AT LAST

Student Information
Student's Name *

First Name Last Name
Preferred Contact Phone Number for Class Communications *

Area Code Phone Number
Preferred Contact Email Address for Class Communications *
Student's Phone Number (If Available)

Area Code Phone Number
Student's E-mail Address (If Available)
Student's Gender *
Student's Grade-Level *
Programs of Interest *

JUST WRITE! Fundamentals JUST WRITE! Workshops SPEAK UP! Fundamentals SPEAK UP! Public Speaking Essay Contests Cosmic Explorers Fiction Bootcamp/Tournament Detroit Sound Machine Private Lessons

Final Info & Submission
How Did You Hear About AT LAST Programs? *
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Comments/Questions/Suggestions
DIRECTOR'S MESSAGE
Thank you for your interest in the LEARNING AT LAST programs! We are excited to begin working with you/your student(s) using this wonderful and effective model of education.

Adaptive
Teaching for
Logical
Analysis &
Systemic
Thinking

My Very Best,
Ryan Henry Cox
Director/Creator
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