2018 - 2019 Homework Help
PACC is honored to be hosting a tutoring program 4 days a week for students through all grades.

Tutoring Classes: Every Monday through Thursday from 4:00 pm to 5:30 pm

Tutoring is free!

Name of Student" *
First and Last
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Age of Student *
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Date of Birth of Student
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Grade of Student *
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School student attends *
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Student's Email *
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Student's Cell Number
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Home Address *
Street, Apt. City, State, Zip
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Parent/Guardian's Name *
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Parent/Guardian's Phone Number *
Your answer
Parent/Guardian's Email Address *
Your answer
Are you okay with us texting you updates?
What subjects would you/your child like to be tutored in? *
Required
Emergency Contact Name
First and Last
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Relation to Children
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Email Address
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Emergency Contact Cell Number
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Home Number
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How did you hear about this class?
Signature *
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Type your first name, and last name in the box below exactly as you have entered it above. *
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Any Additional questions/comments/concerns?
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