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Interest Form 2025/2026
Please fill out this form to give us a better idea of your child's needs, your schedule, and other details.
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Your first and last name:
Your answer
Your child's first and last name:
Your answer
The best number to reach you:
Your answer
Your email:
Your answer
What is the best way to contact you?
Call
Text
Email
Your child's grade for the 2025/2026 school year:
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
Clear selection
What subjects does your child need help with? Check all that apply.
Reading intervention
Math intervention
General academic support
Science
Other
For private tutoring, how many sessions per week would you like?
1
2
3 or more
Clear selection
What days of the week are you and your child available for tutoring?
Monday
Tuesday
Wednesday
Thursday
What time frames work for the days selected? (Please note that sessions are 45 minutes for K-8 and 50 minutes for 9-12)
2:45pm-4:00pm
4:00pm-5:30pm
5:30pm-6:00pm
6:00pm-7:30pm
If you'd like to provide us with more details about your child's needs, please use this space to do so:
Your answer
Do you have any questions about our services?
Your answer
How did you hear about us?
Your answer
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