Parent Authorization & Start Date Confirmation

First Name (Student)

Last Name (Student)

Parents Name

When would you like SmartTrack support to begin? This date determines when support begins and your first month will be prorated accordingly.

Signature: I’ve reviewed the agreement and I’m ready for SmartTrack to begin supporting my student on the start date I listed above.

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Once this form is submitted, you’ll receive a secure payment link based on your student’s start date, along with a link to upload required materials.