BASEC Virtual Tutoring Interest - Intake Form
BASEC is now offering weekly tutoring or enrichment lessons as part of its virtual membership! All sessions are 30 minutes and meet virtually. BASEC uses Zoom to host all sessions.

PLEASE NOTE! Virtual tutoring and enrichment lessons are only open to students who are registered for a 20-21 BASEC after school program OR have a current virtual membership. To purchase a membership, please visit

Please fill out this form and we will be in touch soon to schedule your child for virtual tutoring or enrichment!

Questions? Please email
Email address *
Student Name (First Last) *
Parent Email *
Please confirm the best email to reach you at to schedule your child's sessions.
Is your child a virtual member OR registered in a BASEC after school program for 20-21? *
If you answer no or not sure, please sign up for virtual membership or email to confirm status. ***Please note that virtual tutoring and lessons are for virtual members and/or after school students.
Student Grade *
Student's School *
Are you interested in tutoring OR enrichment lessons? *
Tutoring focuses on academics, while enrichment lessons are time for your child to hone their skills in a particular area of interest, such as art.
Details on Tutoring or Enrichment Lesson Support *
In the space below please share additional details regarding your interest in tutoring or enrichment. Details may include areas in which your child needs more academic support or more detail on the type of enrichment lessons your child would be interested in.
A copy of your responses will be emailed to the address you provided.
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This form was created inside of Belmont After School Enrichment Collaborative. Report Abuse