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Learning Center & Bookstore

Book Appointment

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Welcome to Studypage

Please fill out this student information form

Parent/Guardian information

Parent/Guardian name 1

Who you are to child (1)

Parent/Guardian Name 2

Email of parent/guardian 1

Who you are to child (2)

Phone of parent/guardian 1

Who should we contact in case of an emergency?

Student information

Child's name (& pronouns optional) - please fill out 1 form per child

Grade Level

Age

Name of School Enrolled

Child's Date of Birth

Home address:

Service information
(services are offered at our Encino center, Hub101 office in Westlake Village, in home (SFV/LA), or via Zoom)

How can we assist you? Please specify subjects

Preferred service(s)

Hw Club (group tutoring at Encino center only)

One on One

Enrichment

SAT/ACT Prep

College Apps

Test Prep

Homeschool (Encino center)

Location of service(s)

Encino Center

Westlake Office (HUB101)

House Call

Zoom

Preferred days of service(s)

Sunday

Monday

Tuesday

Wednesday

Thursday

Friday (extra charge)

Saturday (extra charge)

Start Date

please specify day(s) and time frames you would like services

if house call, please provide a location for services:

Preferred Tutor(s)

Esmeralda (K-College)

FIRST AVAILABLE TUTOR

Tiffany (K-8th)

Eddie (K-12th)

Ethyn (K-College)

Jessica (K-8th)

Anastasiia (K-College)

Ryan (K-College)

Jasmine (K-College)

Shauna (K-8th)

Angelica (K-8th)

Zoe (K-12th)

Iyari (K-12th)

Dulce (K-12th)

Grayson (K-College)

Michelle (K-College)

Avery (K-College)

School Website(s) and Login Information if applicable

Describe your values, expectations and goals for this school year.

Describe your child's interest, talents, hobbies, strengths, and weaknesses?

For K-8th: Are there any toys, games, activities that your child is not allowed to play with or participate in (i.e youtube)?

Does your child have any allergies or health concerns that we need to know about?

At Studypage, we have snacks and water: Please list any items your child CANNOT eat and/or if they have any restrictions such as: limit to one snack, kosher only, etc.

Can your child leave our center after arrival/before pickup?

Yes

No

Only with escort

Yes, my child can be photographed and included in StudyPage's social media accounts

No, my child can not be photographed and included in StudyPage's social media accounts

Your Signature

Thanks for Submitting!

Encino Location

Studypage Learning Center

& Bookstore

17547 Ventura Blvd. #106

Encino, CA, 91316

OPEN : Sunday 1-4 pm

&

Monday to Thursday

3:30pm to 8:30pm

HUB 101

31416 Agoura Rd Suite #105, Westlake Village, CA 91361

Telephone:

CALL/TEXT to speak to a representative:

858-869-1325

Need to talk to Esmeralda The Anti-Tutor? call/text:

818-585-1833

Encino CENTER landline:

818-582-3477

studypage818@gmail.com

SAT/ACT Boot Camp

Coming Soon!

SAT/ACT Mock Test

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