Interest Form — Bright Innovators Academy

Bright Innovators Academy

Academy

1 Parent Info

2 Student Details

3 Interests

4 Submit

Start Your Child's Journey with Bright Innovators Academy

Reach out with your contact information below so we can properly place your child in the right programs. If there are multiple students, please fill out the form again. We are fully committed to helping our students identify flexible classes that work according to their schedules.

Parent / Guardian Information

Your contact details so we can reach you.

First Name *

Last Name *

Email Address *

Phone Number *

Relationship to Student *

Preferred Contact Method

Student Information

Tell us about the student you're enrolling.

Student First Name *

Student Last Name *

Date of Birth

Current Grade Level *

Current School Name

Programs of Interest

Select all programs you'd like to learn more about.

Math

Problem-solving, critical thinking & algebra

Robotics

Build, code, and program real robots, hands-on

English

Reading, writing, grammar & comprehension

Camps

Summer & holiday STEM enrichment programs

No active camps

Tutoring

One-on-one sessions tailored to your child's pace

Homework Help

Guided support for daily assignments & projects

Other

Something else? Tell us what you're looking for

Additional Information

Help us understand your needs better.

How did you hear about us?

🔍 Google Search 👥 Friend / Family 📘 Facebook 💬 WhatsApp 📱 Other Social Media 📄 Flyer / Poster 🎪 Community Event ❓ Other

Who referred you? *

Please share the name of the friend or family member who told you about us.

Preferred Start Date

Goals or Questions for Your Child

Your information is secure and will never be shared