Mind Works Learning Center

To enroll your child, fill the Enrollment form bellow:

(*) Required fields

Student's Name: *

Date of Birth: (MM/DD/YYYY) *

Age: *

Grade: *

School: *

Parent/Guardian Name: *

Home Address:

Parent Contact Information:

Home Phone:

Work Phone:

Cell Phone:

E-Mail Address: *

Program(s) of Interest (Please check all that apply):

How did you learn about us?

Or, download the form below, print, complete and fax it to (305) 669-8385.

Effective solutions to your child's academic needs