Registration Form
TUTORS - It’s Possible Learning HUB
3228 Vollmer Rd
Olympia Fields, IL 60461

Contact us:
(708)-889-6957

Website: itspossiblemobiletutoring.com
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Email *
Your Name *
First & Last Name
Understand that your registration form will not be able to submitted through our system if you have NOT purchased a tutoring package or service. Please purchase before filling out your registration form.
We thank you so much for choosing us, we appreciate it!
Your phone number *
Please enter an emergency contact's name and number. *
Emergency contact is another person that is NOT you, give their name and phone number. This is incase we cannot get into contact with you.
Please enter your address city and state *
Student's Name *
2nd Student's Name
Student's Birthdate *
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2nd Student's Birthdate
MM
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DD
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YYYY
What Grade is your Child in? *
2nd Students School & Grade Level
Student's favorite hobbies and interests: *
Reading books, Playing video games, Drawing etc
2nd Student's favorite hobbies and interests:
Reading books, Playing video games, Drawing etc
What services are you interested in? *
Select all of the services you would like.
Required
Please tell us what date you are looking to start? *
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Please tell us what the preferred time you would like to start: *
Time
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What is your biggest concern about your child's math progress? *
Are they doing well for their grade level?
What is your biggest concern about your 2nd child's math progress?
Are they doing well for their grade level?
If your child is having math or reading struggles, at what grade or age did these difficulties begin? *
If you have more than one child, please list both students separately by listing their name first.
Has your child received tutoring in math or reading before? If so when and how was their experience? *
Does your child have an IEP? Or any Learning Disablilites? *
List all below if any. Please bring Childs IEP and other records upon first appointment.
Does your child need any medical assistance during tutoring? If so, please list below. *
All parents are required to fill out & sign a medication form with instructions on the use of their medication with a doctors note.
Does your child have any food allergies? If so list them. If not please answer "None" *
Will your child need Aftercare? *
Pricing is on our website. We close at 6:00 PM.
Required
Will your child need Transportation? *
Pricing is on our website. Earlest Aftercare is at 6:30 AM-  We close at 6:00 PM. Transportation TO school requires beforecare.
Required
How often will your child need transportation and from what location? *
Please list all dates and addresses. If none write "none."
Have you purchased & booked your session yet? *
Did you speak with one of our tutors regarding your upcoming session? *
Upon submitting your registration form you must give us a call at 708-889-6957. If you have not spoken to a tutor yet.
The Learning HUB likes to celebrate your child's work and achievements. As a result, we do photograph our students with parental consent. We would like your permission to share your child's achievements on our website. *
Have you reviewed our Rates and Policies? *
Our rates and policies are on our website. Please review them upon completing this form.
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