Student Registration

Enroll your child in expert peer tutoring. 60-minute sessions, $30 per session.

Parent / Guardian 1

Full Name *

Phone *

Email *

Parent / Guardian 2 (optional)

Full Name

Phone

Email

Address (optional)

Address Line 1

Address Line 2

City

State

ZIP

Country

Student Information

First Name *

Last Name *

Grade *

Date of Birth *

Emergency Contact *

Subjects *

Select all that apply.

Additional Information

How did you hear about us?

Additional Notes

I consent to Future Brainiacs collecting and storing the information submitted in this form for the purpose of managing tutoring enrollment. *

Register Today — Unlock Your Child's Potential

Join Future Brainiacs and give your child access to expert peer tutoring in the subjects that matter most.

Empowering young minds through expert peer tutoring in Dallas, TX and online nationwide.