Smart Science Enrollment Form

Smart Science Enrollment

Please complete the following steps:

Step 1:

Download the terms and conditions by clicking here

Step 2:

Complete the enrollment form below.

Enrollment Form

Parent/Guardian Details

Parent Name *

Parent Surname *

Parent Contact Number *

Parent Email *

How did you hear about us? *

Address *

Address

City

State/Province

Zip/Postal

Note:

Dr Retief offers additional support to learners to identify a student's learning needs. Consultations include and hour discussion with the student and a parent report. These are available on request and are R350 per consultation.

Would you be interested in a consultation with Dr Liz?

Yes

Why are you interested in our classes? *

Preferred Days/Times

Day

Time (Mon-Thur)

Time (Friday)

Add Time Remove Time

Student Details

Students will be registered on our website using the information provided below. An email will be sent to set a password.

Student Name *

Student Surname *

Student Email *

School *

Grade *

Syllabus

Subjects (CAPS)

Mathematics

Science (Physics and Chemistry)

Subjects (CAM/Univeristy)

Mathematics

Physics

Chemistry

Student Contact Number *

Student Date of Birth *

Lesson Times

(Science only students) Is your child currently receiving tutoring for Maths? If so, where? *

Has your child received private tutoring before? If so, with who and for how long? Why were classes terminated with the previous tutor?

Is your child on any medication for anxiety , depression or ADD/ADHD? If so, please elaborate. *

Is there any other information that you feel we should know about? Please elaborate. *

Upload Latest Student Report *

Maximum file size: 20MB

The Rate for 2022 is R185 per hour. Additional support is R350 per month.

The Rate for 2022 is R350 per hour. Additional support is R350 per month.

Choose a Package 11-12

*Additional support includes unlimited access to the content on the website and after hours support via a private chat on Discord. Xavier, Ryan, Dr Liz and Cayla monitor the private chat for any questions.

Choose a Package 8-10

An enrollment admin fee (once-off) of R250 will be added to your first Invoice

I accept the Smart Science Terms and conditions and agree to the Privacy Policy of You Start Smarter

Signature

Clear

Step 3:

Students must install the Discord App on their laptop/desktop and phone. We will use Discord for all our classes. We recommend using a laptop and phone as you will receive push notifcations for new messages. You will receive an email with the link to join our Discord or the following link can be used: https://discord.gg/pzPGecdj5C

Step 4:

Please contact Melissa to organise/confirm class times (melissa@smartscience.co.za)

If you are human, leave this field blank.