MASK Study Buddys Parent/Guardian Sign up
Sign Up for PARENTS/GUARDIANS & STUDENTS
Note: This is a FREE tutoring program provided by Mothers/Men Against Senseless Killings. At no point should money be exchanged. Fill out one form per child.
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Email *
Parent/Guardian Email address #2 (If Applicable)
Parent/Guardian Name(s) *
Parent/Guardian Cell Phone # *
Parent/Guardian Home address *
Tutors WILL NOT be meeting with students in person.
Is your child available for a 3-hour weekly commitment to work online with a tutor? *
Student Name & Preferred Nickname *
Date of Birth *
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DD
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Grade in Fall 2020 *
Student Gender Identity *
What are your student's pronouns? *
Does your child have a preference for the gender of their tutor? If so, note this preference below. *
Does your child need help with any specific subject in school? *
Required
Does your student have any hobbies/interests? Are they in any clubs/sports? *
Do you speak a language besides English at home? If yes, what language(s)? *
Emergency Contact (Name, Relation, Cell & Home Phone #, E-Mail):
Waiver - Please read this and sign below.
I have read and agree to the waiver above. *
Signature of Parent/Guardian. Type your full name below. *
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