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Pass the Class Student Sign-up
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* Indicates required question
Name of person completing form
*
Your answer
Student name
*
Your answer
Student age
*
Your answer
Is the student currently enrolled in school?
*
Yes
No
What is your relationship to the student?
*
Parent/guardian
Teacher
I am the student
Other
Phone number
*
Your answer
Additional phone number (optional)
Your answer
Email
*
Your answer
How would you prefer to be contacted?
*
email
phone call
text message
Required
What would you need help with?
*
Schoolwork
Applying to college
Getting a job
Other:
If you would like, please expand on what the student needs help with
Your answer
Do you have any preference for a tutor? (Gender, hobbies, major, career goals, etc)
Your answer
Please add any additional information if needed. For example, current situation, hobbies, extracurriculars, etc.
Your answer
Where are you signing up from? (e.g. name of school)
*
West Broad Elementary
Franklin Manor
Star House
Other:
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