Education Marketing

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Please fill out the form below and one of our staff will contact you to discuss various programs that are suited for the specific needs of your teen.

Parent name:
Address:
City:
State:
Zip:	(ZIP Code)
Phone:	(Phone Number)
Email:	(E-mail)
School type:
Current situation:
Outside location:	Would you consider a school or program outside of your immediate geographical location? Yes(checked) / No
Tuition willing to pay:	Specialty Schools can be very expensive, and you usually get what you pay for. Depending upon the services offered the average monthly tuition can range from as low as $1,500 and go as high as $8,000. If the school of your choice was the "perfect" solution for your child, what monthly tuition rate would you be able to pay?
Method of contact:
Best time:
Teen name:
Relationship:
Sex:
Age:
Educational consultant:	Yes(checked) / No
Describe the problems your having: