Virtual Tutoring Enrollment Form
Thank you for your interest in our program!  Please fill out one registration form per child. The agreed-upon payment ($50.00 / 60 mins) for each tutoring session is due one week before the scheduled session. Upon receiving your payment for the first session, an email with further instructions will follow.
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Child's Full Name *
Child's Date of Birth *
Child's Gender *
Child's Grade Level for 2021-2022 School Year *
Does your child have any conditions that will affect play/learning? Please type YES or NO. If YES, please list conditions. *
Which days are you registering for tutoring? *
Additional Comments
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