Ajniha Academy

Student Name *

First Name

Last Name

Parent Name *

First Name

Last Name

What subject does the student need help with? *

English

Math

What timeslots is the student available to attend? *

Please select all time slots the student is available (Sessions operate Sun-Thurs)

Sun 2pm-3pm

Sun 3pm-4pm

Sun 4pm-5pm

Mon 5pm-6pm

Mon 6pm-7pm

Mon 7pm-8pm

Tues 5pm-6pm

Tues 6pm-7pm

Tues 7pm-8pm

Wed 5pm-6pm

Wed 6pm-7pm

Wed 7pm-8pm

Thurs 5pm-6pm

Thurs 6pm-7pm

Thurs 7pm-8pm