Team Omowale Youth Basketball & Tutoring

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This form should be filled out by the parent/guardian of any youth who is being registering for basketball training or tutoring services.

Email *

Parent/Guardian First Name *

Parent/Guardian Last Name *

Parent / Guardian Contact Phone Number *

Scholar / Athlete Name *

Which services are you interested in? (select all that apply) *

Math Tutoring

History Tutoring

Basketball Training / Team Omowale

Other:

Required

What is the scholar’s grade level? *

5th Grade

6th Grade

7th Grade

8th Grade

9th Grade

Which style of tutoring do you prefer?

In-person sessions

Online / Virtual sessions

Clear selection

How does your scholar perform in the school subject(s) which they require tutoring?

Advanced / Proficient (A’s and B’s)

Basic / On Grade Level (C’s)

Below Basic (D’s and F’s)

Clear selection

Does the scholar have internet access at home?

Yes

Clear selection

Is there anything else about your scholar / athlete that you would like to share?

Submit

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