2021-22 private lesson request form
ALL students, returning or new, needs to fill out the form.
Student's Name *
Student's Email Address
Parent's name *
Parent's Email address *
Phone number *
Grade as of September 2021 *
School *
School name. If you planned to pay with Ocean Grove, please indicate here.
Math class your child is going to take (if applicable) *
Lesson *
Required
Preferable Day and Time for tutoring *
I will try my best to accommodate your schedule but I cannot guarantee that you will get your preferable choice.
Possible Day and Time available for Tutoring *
The more flexible your schedule is, the easier it is for me to arrange it.
I understand that the classes will be conducted online. *
Required
I have read the tutoring policy and agree with it. *
Where did you hear about my service?
Question or Comments
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