SHOREICAN Child Services Client Interest Form
Thank you for your interest in our services. Please submit this form and a tutor will contact you in the next 24 to 48 hours. For more information about SHOREICAN, please see the following links:

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Email *
I am interested in scheduling a Meet in Greet with the following tutor:
I am interested in an academic evaluation?
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I would like to schedule a meeting with an advocate:
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Name (first and last):
Phone Number:
Type of Tutoring Service:
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Child's Name (first and last):
Child's Grade:
Type of Tutoring:
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School District:
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