All-Pro K-12 Tutoring and SAT, ACT, PSAT, and Regents Test Prep Application
This application is for students interested in individual or small group K-12 Tutoring, SAT, ACT, PSAT, Regents Test Prep and Writing the College App Essay.
Please complete this application and submit it. You will be enrolled in All-Pro Tutoring & Test Preparation when we receive this completed application and payment. The information you provide is confidential and will not be shared with anyone or any organization.
* Required
Option 1
Clear selection
Student & Parent's Name and Address
Student's Name
*
Your answer
Street Address
*
Your answer
City
*
Your answer
State
*
Your answer
ZIP Code
*
Your answer
Parent's Name
*
Your answer
Student & Parent's Phone Numbers
Home Phone Number (with area code)
*
Your answer
Student's Cell Phone Number (with area code)
*
Your answer
Parent's Cell Phone Number (with area code)
*
Your answer
*
I DO give permission for the tutor to contact my child via text, cell phone, or email.
I DO NOT give permission for the tutor to contact my child via text, cell phone, or email.
Student & Parent's Email Addresses
Student's Email Address
Your answer
Parent's Email Address
Your answer
Student Information
Student's Birthdate
MM
/
DD
/
YYYY
Gender
Male
Female
Clear selection
Emergency Contact
Please list an alternative person and contact number in case of an emergency and a parent/guardian cannot be reached.
Emergency Contact's Name
*
Your answer
Emergency Contact's Relationship to Student
*
Your answer
Emergency Contact's Phone Number(s) (with area code)
*
Your answer
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