Christina School District Tutoring Registration Form - SUMMER 2021 - DDOE Tutoring Slots
Parents/Guardians:

We are pleased to announce that we have secured summer tutoring slots for students in our district. The program will run from June 21 - August 12, 2021.

Please complete this registration form for your child. We will share the spreadsheet with "Back to Basics" and "Reading Assist" tutoring agencies. The agency will contact you directly with the days, times and Zoom/Virtual link for the tutoring session.

If you choose for your child to attend in-person tutoring sessions and they are not part of the existing school-based summer programs, we ask that you provide transportation to one of the in-person sites (Bancroft, Oberle, Smith, Stubbs or West Park Place).

If you have any questions, please contact Gina Moody or the agency for additional information.

Thank you.
Parent's email Address, if you have one.
Student ID/Lunch Number *
Student's First Name *
Student's Last Name *
Student's School for 2020-2021 school year *
The student will participate in the tutoring session as follows: (check only one option) *
Student's Grade *
Student's Summer School Location (On-site Literacy sessions will take place at Bancroft, Stubbs, West Park Place, Oberle, Smith) *
The student has a(n): *
Required
Subject (s) for tutoring - Check all that apply. *
Required
Parent/Guardian - Full Name *
Parent/Guardian - Phone Number 1 *
Parent/Guardian - Phone Number 2 (enter N/A if there is no other/additional phone number) *
The student attends one of the following Community-Based Organizations: *
I agree that my child will participate fully in the tutoring program. I will also provide transportation, if necessary. *
Required
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