Exceptional Whiz Kid Enrollment Form "*" indicates required fields Please choose your Live Circle Time class days:* Monday & Wednesday Tuesday & Thursday Monday - Thursday *Additional $60/mo for live classes M-Th Choose Live Circle Time:*M/W 2:00 PM (Eastern Time)Choose Live Circle Time:*T/Th 2:00 PM (Eastern Time)Choose Live Circle Time:*M-Th 2:30 PM (Eastern Time)Please choose enrollment enhancements (optional & additional fees apply): Friday Enrichment Classes (Art, Music, etc.) Individualized Learning Plan and Academic Assessments Hands-on Kit Enrichment Class Time:Friday 10:00 AM (Eastern Time)Enrichment Class Time:Friday 10:00 AM (Eastern Time)Enrichment Class Time:Friday 10:30 AM (Eastern Time)Enrichment Class Time:Friday 2:00 PM (Eastern Time)Enrichment Class Time:Friday 2:00 PM (Eastern Time)Enrichment Class Time:Friday 2:30 PM (Eastern Time)Email* Parent's Name* First Last Child's Name* First Last Checkout:Address* Street Address Address Line 2 City StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Child's Birthdate* MM slash DD slash YYYY Choose a Password* Enter Password Confirm Password CheckoutCoupon Code Hands-on Kit - $150 Hands-on Kit is a one-time $150 fee that will be processed after your 7-day trial. Membership Level:$299/month Discover M-TH 10:30 AM (Eastern) - Blue Group Membership Level: Discover M-TH 2:30 PM (Eastern) - Blue Group $299/monthMembership Level: Discover M/W 10:00 AM (Eastern) - Blue Group $239/moMembership Level: Discover M/W 2:00 PM (Eastern) - Blue Group $239.00Membership Level: Discover T/TH 10:00 AM (Eastern) - Blue Group $239.00Membership Level: Discover T/TH 2:00 PM (Eastern) - Blue Group $239.00Membership Level:$359/month Excel M-TH 10:30 AM (Eastern) - Blue Group Membership Level: Excel M-TH 2:30 PM (Eastern) - Blue Group $359/moMembership Level: Excel M/W 10:00 AM (Eastern) - Blue Group $299/moMembership Level: Excel M/W 2:00 PM (Eastern) - Blue Group $299/moMembership Level: Excel T/TH 10:00 AM (Eastern) - Blue Group $299/moMembership Level: Excel T/TH 2:00 PM (Eastern) - Blue Group $299/moMembership Level: Explore M-TH 10:30 AM (Eastern) - Blue Group $249/moMembership Level: Explore M-TH 2:30 PM (Eastern) - Blue Group $249/moMembership Level: Explore M/W 10:00 AM (Eastern) - Blue Group $189/moMembership Level: Explore M/W 2:00 PM (Eastern) - Blue Group $189/moMembership Level: Explore T/TH 10:00 AM (Eastern) - Blue Group $189/moMembership Level: Explore T/TH 2:00 PM (Eastern) - Blue Group $189/moFirst Payment Due After 7-day Free Trial:Your credit card will not be charged today. Payment only due after trial is complete. Credit CardCard Details Cardholder Name Terms of Service and Privacy Policy Agreement* I agree to Terms of Service I agree to Privacy Policy Terms of Service | Privacy Policy
