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Appointment Request
Please fill in all fields. You will receive an email confirmation if the request date/time is available.
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Parent Name:
*
Your answer
Phone Number:
*
Your answer
Email:
*
Your answer
Child Name:
*
Your answer
Child's Age:
*
Your answer
Subject of Interest:
*
Math
Reading
Both
Required
Additional Children to be Assessed:
If you would like to assess more than 1 child, please include names and ages. We can assess them together at the same appointment.
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Request Appointment Date
*
Appointments are only available on Tuesday, Thursday, Friday and Saturday, subject to availability.
MM
/
DD
/
YYYY
Request Appointment Time
*
Appointments take approximately 1 hour (30 min for assessment, 30 min for orientation)
6:00 pm (Tue, Thur, Fri)
6:30 pm (Tue, Thur, Fri)
3:30 pm (Sat)
4:00 pm (Sat)
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