New Student Intake Form
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Email *
What is your child's name? *
Your First and Last Name
Mailing Address
Phone Number
Mailing Address (this is where we will send your tutoring kit)
Clear selection
Child's Name, Age, and Grade-Level (all children)
Are you familiar with the Zoom platform?
Clear selection
Desired Subject for Tutoring
Check all that apply
What is your MAIN goal in hiring a tutor?
Child's strengths or interests (please clarify if more than one child)
Complete Mailing Address (for mailing tutoring kit)
Child's Challenges
Which tutoring package are you interested in *
Click the link to book a discovery call (if you haven't already): https://app.acuityscheduling.com/schedule.php?owner=21604937
How did you hear about us?
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