(Group) Winter Tutor Request
Dear student, we hope that our online service provides you with the best education you could receive during this COVID-19 pandemic. Please fill out this form (it should take about 5 mins) if you would like to enroll in a group class. This session will end on April 3rd, so if you would like to receive tutoring after this date, stay tuned for updates as we near that date! These group classes will include a curriculum provided that is taught by the tutor and may have homework assigned along the way to ensure that students fully understand the material. For further information, feel free to email us at
or visit our website (
Student's First and Last Name
Student's Grade (in 2020-21 School Year)
Student's School (Please do not abbreviate)
Student's Email (Please put a Gmail as Google Classroom will be the main form of communication for Group Classes. School-issued emails will not work as well.)
Parent's First and Last Name
Have you attended classes with Edutine before?
How did you hear about us?
If you selected other, please tell us where you heard about us.
Time Zone (For ex: PST = Pacific Standard Time)
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