Philly Tutors Gaming Club (Fall 2018 Bache-Martin)
Welcome to Philly Tutors Tabletop Gaming Club, where we use modern board and card games to teach students numerous academic and life skills!
Dates: Fridays, September 7 through November 16 (9 sessions: No sessions on October 5 and November 9)
Full Session: 9 sessions = $72
1st half option: Sept. 7 - 28 (4 sessions) = $32
2nd half option: Oct. 12 - Nov. 16 (5 sessions) = $40
Time: 3:00 to 4:15
Location: Bache-Martin Elementary School
Ages: K through 8th
Mission: To build teamwork, develop strategic thinking, increase focus and discipline, and have fun
Length: One hour per session
Materials: All game materials will be provided by Philly Tutors
Email address *
Name of Student *
Your answer
Name of Parent/Guardian *
Your answer
Length of Session *
Payment Method
Grade of Student
Your answer
Age of Student
Your answer
Email Contact - Parent/Guardian *
Your answer
Email Contact - Student
Your answer
Phone Contact - Parent/Guardian *
Your answer
Phone Contact - Student
Your answer
Current School
Your answer
Address and Zip Code
Your answer
Date of Application (Today's Date)
Emergency Contact Phone
Your answer
Emergency Contact Email
Your answer
Payment and Payment Options
Payment to Philly Tutors can be mailed or dropped off to:
2931 Poplar St.
Philadelphia, PA 19130
The one-time fee for the Full Fall session of the Philly Tutors Tabletop Gaming Club program is $72 for 9 sessions
1st half (4 sessions) - $32
2nd half (5 sessions) - $40
Payment options include cash, check, PayPal, Venmo, Cash App & Google Pay.
Terms and Disclaimer
I agree not to hold Philly Tutors or its assigned representatives liable for any illness and(or) injury occurring while participating in any program or activity associated with Philly Tutors. In addition I, the undersigned, do hereby release and hold harmless Philly Tutors from any and all obligations and claims of any nature whatsoever, on my part or the part of my heirs or assigns, which may arise now or in the future, from the use of any documentation, photographs, audio or video film in which a likeness or representation of myself shall appear or of my voice or a characterization in which I shall participate, and acknowledging that the use of said promotional material attendant thereto may be edited and used at the absolute discretion of Philly Tutors in promotion of its future services. I understand that the time allotted for the workshop is scheduled for me or my child and that it is my responsibility to insure attendance during that scheduled time. I am required to give at least 3 hours notice if I will not be able to attend.
Please enter your initials - by entering your initials in the below, you are effectively providing your signature, indicating that all the information on this form is true and accurate, to the best of your knowledge. *
Your answer
Please click this box to confirm that you understand the terms of the contract and agree to it *
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms