RISE Philadelphia Parent Agreement Form
Thank you for your interest in having your child participate in our program! We are so excited to get started. Please review the RISE Philadelphia Handbook and Website before signing the Parent Agreement Form Below: https://www.risephiladelphia.com 
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Email *
Parent/Guardian Name *
Parent/Guardian Email Address *
Parent/Guardian Phone Number *
Student's Name *
Student's Pronouns (e.g. he/him, she/her, they/them) *
Preferred Language *
Student's School *
Student's Grade Level *
Student's Email *
Student's Phone Number *
What is the best way to communicate with you about your student *
Can the tutor contact your student directly? *
What subject can we help your student with? *
What does your student want most from tutoring in this subject?  *
Please review the Parent Agreement Form below and sign to agree to the terms and conditions of your child's participation in the RISE Philly program
A copy can provided upon request. Please email us for a PDF of the Agreement Form
rise.philly.2020@gmail.com
By signing my name below, I agree to the terms and conditions of my child's participation in the RISE Philly program as outlined in the Parent Agreement Form.  I understand RISE Philly will communicate with me and with my student's school. *
Today's Date *
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