Tutoring Session Registration
$30 a session per student - one hour session
Available to schedule 4-5pm or 5-6pm
Monday-Friday (only when Oconee County Schools are in session)
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Student name: *
Student gender: *
Student grade: *
Student current School *
What day would you prefer to have your tutoring session scheduled? (This is not guaranteed, but we will do our best to work with your schedule) *
What time slot would you prefer? (This is not guaranteed, but we will do our best to work with your schedule) *
Dietary restrictions *
Parent/Guardian #1(Primary contact) - name: *
Parent/Guardian #1(Primary contact) - phone number: *
Parent/Guardian #1(Primary contact) - email address: *
Parent/Guardian #1(Primary contact) - home address: *
Parent/Guardian #2 - name: *
Parent/Guardian #2 - phone number: *
Parent/Guardian #2 - email address: *
Parent/Guardian #2 - home address: *
Contacts: Child will be released only to the custodial parent or legal guardian and the persons listed below. The following people will also be contacted and are authorized to remove the child from the facility in case of illness, accident or emergency, if for some reason, the custodial parent or legal guardian cannot be reached: *
Please provide Insurance information in case of emergency: *
Please provide a brief summary of what area of schooling your student would like additional help in: *
Additional Comments:
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