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Please complete the form below to join LifeWorks.
*At LifeWorks, out of respect for your privacy, we keep all information shared with us confidential.
Parent Information
*
Indicates required field
Parent 1 - Name
*
First
Last
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Email
*
Phone Number
*
Parent 2 (optional) - Name
*
First
Last
Email
*
Phone Number
*
Student Information
Student Name
*
First
Last
Student Email
*
Student Phone Number
*
School
*
Grade
*
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8
9
10
11
12
Other
Subject(s) Needed
*
Please share specific subject(s) student needs help with (i.e. Advanced Algebra).
Is there anything else you would like us to know?
*
How did you hear about us?
*
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Current LW Parent
Current LW Student
School Counselor
Google
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Other
Billing Information
All payment information is securely stored. Invoices are emailed out at the end of each week.
Name
*
First
Last
Email (if different than above)
*
This email address will be used when we send out invoices.
Address
*
Line 1
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City
State
Zip Code
Country
Credit Card Number (VISA or Mastercard)
*
Billing Policies
Expiration Date
*
*
Billing takes place at the end of each week.
*
We require 24 hours notice for reschedules and cancellations. (Unexpected illness and family emergencies excepted).
*
If less than 24 hours notice is given a 50% fee will apply. If no notice is given, missed sessions are billed at our regular rate.
Agreement to Terms
*
Yes, I have read and agree to the policies above.
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Approach
Services
Virtual LifeWorks
Tutoring
>
Subjects
Parent Support
SAT/ACT Prep
>
Free Practice Tests
College Essay Writing
Psycho-Educational Evaluations
Test Proctoring
Session Requests
Rates and Policies
Update Billing
Team
Blog
Podcast
Contact Us
Enroll
