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Request for Tutoring at Pine Point School
Please fill out this form so that we may find a match for your student's tutoring needs. All tutoring sessions take place at Pine Point School in Stonington, CT.
Email address *
Name of Parent Contact *
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Student's Name *
Your answer
Student's Current School
Your answer
Current Grade level *
Student's Date of Birth *
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Services Requesting *
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Frequency of tutoring desired
Reason for Tutoring
Does your child have specific learning needs or is there other information relevant to your request?
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What are the desired outcomes for tutoring your child?
Your answer
Please check availability (check all that apply)
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