NLC's Saturday Tutoring Academy

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This form is your registration for tutoring. Please complete the form with all the details requested below. Providing your email and phone number will allow you to receive communication regarding any changes or cancelations. Once you have registered, you will be notified by email or phone regarding upcoming tutoring dates. Tutoring will be provided for students in grades 2-8 and take place on Saturdays from 11:00am-1:30pm. Tutoring will be provided for Math and ELA. Snack will be provided.

*It is important that children are picked up promptly at 1:30.

Welcome to NLC's Saturday Tutoring Academy!

Sponsored by Community Care and Concern, and The Lewis EdCollaborative

Email *

Child's Last name *

Child's First Name *

Child's Date of Birth *

YYYY

Current Grade Level *

2nd Grade

3rd Grade

4th Grade

5th Grade

6th Grade

7th Grade

8th Grade

Does he/she have any learning or physical disabilities? *

Yes

If your child has a disability, what is it? *

Child's Favorite Subject

Child's Strongest Subject

Parent First and Last Name *

Parent Phone # *

Parent Email Address *

My child will be picked up by *

a parent/guardian

no one - they will walk home by themselves

Send me a copy of my responses.

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