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Dolphin Academy Tutoring Intake Form
Child's First Name *
Child's Last  Name *
Parent First Name *
Parent Last Name *
Parent Email *
Child's Grade *
Child's Sex *
Tutoring Topics Interested in *
Required
Are you or your child familiar with zoom? *
Will your child have access to ipad/tablet as well as being on zoom with me.  *
What are your main concerns that you would like to be addressed during tutoring? *
Any other information you think I should know about your child. *
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