Special Needs Homeschool Classes Enrollment Form

Enroll in our Special Needs Homeschool Classes: small-group literacy classes for students with special needs, or request an additional class.

Complete the form below to get started. Availability and payment instructions will be provided after your submission is reviewed.

Small-Group Literacy Class

Special Needs Homeschool Classes

$119/month

Group SizeTwo to four students

FormatIn person, virtual available upon request

Included: Instructional materials and brief progress updates

In-person classes meet in Houston. The exact location is shared once the class reaches its minimum enrollment.

Don't fill this out if you're human:

Parent/Guardian Information

Your Name *

Email Address *

Phone Number *

Student Information

Student Name *

Student Grade/Age *

Current Educational Setting *

Homeschool Public School Private School Other

Enrollment

Special Needs Homeschool Classes$119/month

Which months would you like to enroll in? Select all that apply. *

September October November December Request a different class

Estimated totalSelect a month above

Preferred Day/Time (optional)

Preferred Learning Option *

Additional Class Request (optional)

About Your Student

Tell us about your student’s learning needs or goals

Acknowledgment

I understand that availability and payment instructions will be provided after my submission is reviewed, and that my student’s spot is confirmed once enrollment is finalized. *

✓

Enrollment request received!

Thank you! Dr. Ali will reply personally within two business days with availability and payment instructions.

Questions before you submit? hello@downforlearning.com · 832.620.1210

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