Whiz Kid Academy Enrollment Form

Enrollment Form

7-day free trial – No obligation. No risk. Cancel anytime.
We look forward to helping your child excel in math, reading, science, and more, guaranteed! Questions? Call or text (301) 825-5836 for assistance.

To get started, please select your enrollment track:

Choose your preferred live class schedule (based on availability):

Select your curriculum enhancements (recommended):

Hands-on Kit & Workbooks Description

Parent First Name:

Parent Last Name:

Child First Name:

Child Last Name:

Child Date of Birth:

Shipping Info:

Mailing Street Address

Address Line 2:

City:

State:

Postal / Zip Code

Email:

Phone:

How did you hear about us?

Choose Login Password:

Confirm Password

*Enrollment is not complete until “Enroll Now” button is clicked on next page. Credit card required, but not charged during 7-day trial.
**Live class times will be confirmed in email after enrollment.

Enrollment Form

Hands-on Kit Includes ($200 value):