WVW After-School Tutoring Request Form

Beginning: Monday, October 17 to TBA

Time: HS 2:30-3:30, MS 3:00-4:00, Elementary 3:45 to 4:45

*Note – Transportation is the responsibility of the parent, and all tutoring is based on teacher availability

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Child’s Name

*
Grade *
School *
Teacher(s) of Subject of Tutoring Request *
Does your child have an IEP *
I am requesting my child to participate in the ELEMENTARY after-school program and am requesting tutoring for:
I am requesting my child to participate in the MIDDLE SCHOOL after-school program and am requesting tutoring for:
I am requesting my child to participate in the HIGH SCHOOL after-school program and am requesting tutoring for:
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