The VAN WYNGAARD Academy Tutoring Intake Form
Please fill out the form below and I will contact you within 1-3 business days to schedule a meet & greet time to start your child's individualized learning plan!
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Parent name (First & Last) *
Contact information (fill in the best method to contact you via phone # and/or email) *
Our family is looking for... *
Preferred FREQUENCY of Tutoring *
Preferred DAYS of Tutoring sessions (check all that apply)
Preferred TIME of Tutoring sessions (check all that apply) *
Does your household have access to the internet?
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Does your child have access to his/her own device (iPhone, laptop, desktop, iPad) on which he/she could complete assignments and receive live lessons?
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As the parent, what is your main goal in inquiring about Tutoring services for your child... *
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