Information Request for Summer Programs 
After you fill out this Personal Information request, we will contact you to go over details and schedule your child's tutoring session start date. Please email youngandvibranttutoring.com if you have any questions. Young & Vibrant Tutoring is super excited to teach your child how to READ with Confidence! 
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Email *
Are you a new or existing customer? *
What is your Child's name?  *
What is your Child's birthday?   *
What is your Child's grade for 2025-2026 school year?   *
Explain your child in 3 words?  *
What is your child struggling with?  *
Would you like your child to attend Virtual Summer Success Camp June 2-30, 2025 for the following subject(s)?  *
Required
What day of the week work best for you? 

 *
Required
Does your child have any learning disabilities...if so please explain?   *
What are your child's favorite things? List 3 for Ex: color, character, food, YouTuber, etc *
What is your goal for your child?  *
What is your title?  *
Your name *
Phone number *
Preferred contact method *
Required
Do you grant Young & Vibrant Tutoring personnel permission to take pictures of your child and share on professional platforms?  *
Have you joined our Facebook Group Young & Vibrant Tutoring? If not, please do for updates.  *
How did you hear about Young & Vibrant Tutoring?  *
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