Free After School Tutoring for ASD Elementary School Students by UNIDOS
Beginning May 2021 | 1329 Hamilton St, Allentown PA 18102 | www.UnidosFund.org | One form per child
Email *
Parent's Name *
Parent's Phone Number *
Child's Name *
ASD Elementary School *
Grade *
Teacher's Name *
First Option: Day of the week requested for tutoring *
Choose Only One Set of Days and Times combination
3:30PM - 4:15PM
4:30PM - 5:15PM
Not these days
MONDAY / WEDNESDAY
TUESDAY / THURSDAY
Second Option: Day of the week requested for tutoring *
Choose Only One Set of Days and Times combination
3:30PM - 4:15PM
4:30PM - 5:15PM
Not these days
MONDAY / WEDNESDAY
TUESDAY / THURSDAY
Do you agree with the entire statement below? *
Children and parents are required to wear masks during their tutoring session. Parents must remain on the premises while their children are receiving tutoring. If your child is ill or has been exposed to anyone that may be ill, please cancel your tutoring session ahead of time. Snack will be provided. Please arrive 10 minutes prior to the beginning of your session. Come prepared with laptop battery charged, and school assignments.
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