New Client Form
Are you familiar with our company?
Yes, I am familiar and have been to the website
No, I would like more information on your business
I know a bit about Be Able Learning, but have not been to the website
What is the age of your child and what school do they attend?
What is the primary purpose for tutoring?
Remediation due to a learning challenge
General grade level or homework help
What are the specific learning needs of your child? Do you have documentation such as neuropsych, report cards, standardized testing?
How many sessions per week do you want? Amount of time per session (60 mins, 90 mins)?
What is your daily availability for sessions? (days/times)
What is your (the parent) contact information & general availability for communication? (days/times)
Do you have any additional questions?
A copy of your responses will be emailed to the address you provided.
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This form was created inside of Be Able Learning Services.