KaizenX Academy | Quality-Built K–12 STEM & Future Skills

PARENT, GUARDIAN & ADULT INTEREST FORM

Tell us where the learner wants to grow.

Complete this short form to request information. This is not enrollment, does not reserve a seat, and does not request sensitive learner records.

Adult contact name *Email address *Telephone number OptionalCity or ZIP code OptionalYour relationship *Learner grade band *

Programs and subjects of interest * Select up to eight

Select at least one program area.

Specific course, subject, or goal OptionalPreferred delivery *Preferred response *General question or context Optional

I confirm that I am 18 or older and am submitting as a parent, legal guardian, adult learner, educator, counselor, or authorized institutional representative. *I acknowledge the Privacy & Youth Data notice and understand that this form is an informational request, not enrollment. *I would also like to receive occasional KaizenX Academy program announcements. This is optional and may be withdrawn later.

Information is used to respond to this request and plan appropriate offerings. Do not submit sensitive learner records. For questions, email kaizenxacademy@gmail.com.

Interest requests are open; enrollment is coming soon.

An interest request is not enrollment, a seat reservation, or a promise that a particular course, date, location, or funding source will be available.

FUTURE ENROLLMENT JOURNEY

Clear steps. Explicit consent. Minimal data.

01Adult account and identity verification
02Learner profile and age/grade placement
03Program selection, prerequisites, and schedule
04Required consents, emergency and accommodation information
05Tuition, aid, payment choice, and refund acknowledgment
06Confirmation, orientation, and secure portal invitation

Purpose-built family systems

Future enrollment, learning activity, documents, and payments will be separated so each system receives only the information needed for its role.

Full enrollment · Coming soonRegistration, permissions, attendance, emergency contacts, and program records

Family portal · Coming soonCourses, assignments, feedback, progress, portfolios, and observer access

Secure payments · Coming soonCard authorization, receipts, refunds, and payment status through a selected processor

FUTURE PAYMENT OPTIONS

Flexible payment methods are planned.

Confirmed methods, tuition, fees, and refund terms will be shown before a parent or guardian completes enrollment.

Card payment

A secure third-party checkout is planned.

Digital wallet

An additional third-party payment option is being evaluated.

Cash

Availability and receipt procedures will be stated with confirmed enrollment terms.

Check

Availability and instructions will be stated with confirmed enrollment terms.

KaizenX Academy does not currently accept payment through this website. Final processors, payment instructions, charges, cancellation terms, and refund conditions will be disclosed before checkout.

Read the payment and refund policy