FIT ENROLLMENT

New Student Form

Sign Up For Our Academic Tutoring Services Now!

For your convenience, we offer registration for Fit Learning in an easy online form. If you are ready to register your child for our academic tutoring services, you are welcome to fill out the form below. Parents are also welcome to contact us to schedule a tour so that we can show you more about our specialized programs, and answer any questions you might have.

If you would like to schedule a tour or contact us prior to filling out the registration form, give us a call. We would love to help you become better acquainted with Fit Learning!

Student Information

Student's Name
First Last
Date of Birth
Parents' Names
Home Phone
Work Phone
Mom's Cell
Dad's Cell
Address
Street Address Address Line 2 City State ZIP Code
School
Current Grade
Mom's Email
Dad's Email
Medical Conditions/Allergies
Dietary Restrictions
Other Restrictions
Permission to Pick Up
Please list the individuals who have permission to pick-up your child from his/her session. Include family members, friends, and babysitters who may participate in transporting you child to and from sessions. Anyone picking-up your child must appear on this list and be able to show identification in order to take your child after his/her session.
Name
Name
Name
Name
Name
Name
Emergency Contact Information
Please list 3 individuals who we may contact in case of an emergency if you cannot be reached.
Name
Home Phone
Work Phone
Cell Phone
Name
Home Phone
Work Phone
Cell Phone
Name
Home Phone
Work Phone
Cell Phone
General Information Questionnaire
**If your child is diagnosed with a learning disability or has an IEP, please answer all questions.
**If your child does not have a specific diagnosis or IEP, please answer questions under section A only.
Section A
1) What is your greatest concern regarding your child’s academic skills?
2) What are your goals with respect to your child’s academic skills?
3) What are his/her greatest strengths/weaknesses academically?
4) When did your child begin to read?
5) Does your child attempt to read on his/her own? Does your child ask you to read to him/her?
6) Does your child engage in regular temper tantrums or outburst at home or at school? If yes, please explain.
7) What is homework time like?
8) Does your child seem anxious or nervous in his/her school environment? How is her/his confidence with respect to school? Socially? In general?
9) Does your child have any other behavioral issues?
10) Does your child have any medical problems?
11) What previous treatments have you attempted for learning and/or behavior problems?
12) Does your child have a diagnosis? What was the age of diagnosis? Who provided that diagnosis?
Section B
13) Did your child meet developmental milestones normally? Speech milestones? Fine/gross motor milestones?
14) Did your child have any language delays?
15) Does your child engage in stereotypical behaviors?
16) Does your child have any sleeping problems?
17) Does your child qualify for any special education services?
18) Does your child have an IEP? If so, do you feel as if the IEP goals have been met?
19) What are your concerns with your child’s current educational placement?
20) Type of Assessment requested: Fit Math, Fit Reading, Fit Logic, Fit Writing, Fit Penmanship, Fit Home School, Lil' Fits, or Comprehensive Assessment.*

JUST 40 HOURS*

Fit Learning uses the Fit Learning Method of instruction. The method is a unique combination of applied behavior analysis, precision teaching, direct instruction, curriculum-based measurement, and relational frame theory. The result is a profoundly transformative process that consistently produces 1-2 years of growth in 40-50 hours.This is why tutors in Perth cannot reproduce results such as these.

FLUENCY

Science has determined that fluency – or a measure of accuracy, plus pace – is the most appropriate measure of skill mastery. It reliably predicts that a learner remembers the skill over time in the absence of on-going practice, and that they can perform the skill under distracting conditions without affecting performance. This serves as the goal for everything we train at Fit Learning.

COGNITIVE FITNESS

When students achieve fluency across a broad array of core skill areas for a particular subject, they experience an actual transformation as a learner. A fluent foundation produces learners who have cognitive fitness – they are agile, flexible, focused, perseverant, confident, and determined learners, who are able to think critically at all times.

FIT ENROLLMENT

New Student Form

Sign Up For Our Academic Tutoring Services Now!

Student Information

Permission to Pick Up

Emergency Contact Information

General Information Questionnaire

Section A

Section B

JUST 40 HOURS*

FLUENCY

COGNITIVE FITNESS