IN-HOME PROGRAMS RENEWALS

All In Home Programs Renewal Form

This form is for renewals only. If you have not previously registered for one of our In-home “Tutoring" or "Coaching/Counseling" or “Transitioning" programs,
please visit the In-Home Tutoring page or In-Home Coaching/Counseling page or Transitioning Coaching page to register.

We only employ highly experienced ESE Certified Professional Educators or Licensed Therapists to provide the very best service possible.

In Home Tutoring

Educational Coaching

Transitioning Training

Behavior & Emotionality

Online Groups

Limitations of Liability and Signature

I understand that the Support for Students Growth Center (S.S.G.C.) strives to help as many clients as they can. However, I understand that not all applicants are accepted for services. I understand that the S.S.G.C will use the application information to assess my child’s needs for the purposes of evaluating their abilities and needs and determining placement and service options. Recommendation and approval of my child for services provided by the S.S.G.C is at the discretion of the S.S.G.C administrative team.

Our tutors are not “baby sitters” and therefore, a trusted person 18 years of age or older must be in the home or other setting, while tutoring occurs. Tutoring may never occur in a bedroom or in a room with a closed door.

Cancellation Policy: You may cancel your tutoring/counseling session with no penalty up to 24 hours before the scheduled session. If, however, you cancel within 24 hours of the session, payment is due in full (except for an occasional sudden incident or illness). Please be sure to contact your tutor once you know you need to cancel or re-schedule.

Refund Policy: All payments, including initial assessments and deposits, are non-refundable. Refunds will not be given for withdrawals or dismissals after services have begun. If a child engages in conduct which is harmful, dangerous, or extremely disruptive to the overall conduct of the program or the personnel of S.S.G.C., we reserve the right to dismiss the child, and a prorated refund may be offered.

I agree to the cost and payment terms agreed upon and understand that these services will likely not be paid for or reimbursed by my insurance company. I agree to hold harmless the S.S.G.C as well as its employees or representatives from any damages or losses of any kind including direct, indirect, incidental, consequential or punitive damages arising out of the applicant’s and/or child’s participation in their programs. I understand that the S.S.G.C makes no warranty or guarantee of any kind whatsoever regarding results or outcomes, whether direct or indirect, from the services it provides. In submitting this application, I certify that the information provided herein, including all enclosed documents, is complete and accurate to the best of my knowledge. I understand that failing to provide complete and accurate information in or with this application will void any potential refunds.

I am the parent or legal guardian (an individual if over 18) of the child/participant named in this application, and I agree to the terms and conditions outlined above.

Payment

Please select your form of payment below
- If paying by credit card, payment must be made with application submittal. After clicking submit below, you will be taken to the payment page.
- If you have chosen to pay by Cash or Check you will need to visit our Boca Raton office to make payment, prior to your first session.
- If you have chosen Step Up For Students Scholarship, please contact the office (561-990-7305) with your information after submitting the application.