Parent/Student Registration Form
This form is used to help us get to know you and your family!
Sign in to Google to save your progress. Learn more
Email *
*
First and last name
Email *
Phone number *
Address *
Please provide your complete address.
When are you wanting sessions to begin?  *
**PLEASE READ** Sessions begin September 18. For clients who have already begun classes; we may accommodate a sooner start date. For clients wanting to start after September, please note; your application will be reviewed after our start date.
How many sessions would you like per week? *
What is your preferred tutoring schedule? You must list three times and days; failure to do so may delay scheduling. *
What is your time zone? *
What type of tutoring service do you need? *
Select all Subjects that Apply. For Homework Help services, mention the subject in student's needs section.
Required
Student's Name *
First and last name
Student's Preferred Pronouns *
Student's Birthday
MM
/
DD
/
YYYY
Student's Grade Level *
How often does you and/or your student read? *
What are your student's study habits like and frequency? *
What are your student's hobbies and interests? *
Tell us about your child. What are their academic strengths and weaknesses? IEP/504 Plans? Please mention any learning disability/accommodations needed. *
Clients wanting Homework Help/Organization. Could you share your concerns and subject(s) needed? *
If you are not interested in Homework Help/Organization, provide a response of N/A.
Do you have a reliable computer/laptop and internet service provider? *This year we have decided to switch over to Google Meet and Jamboard. *
What is your preferred method of communication? *
Required
Noble Tutors requires all clients to set up recurring billing with a signed credit card authorization form. We have discontinued using CARDX this school year as most families used a credit card as a form of payment. This year we are returning to using SquareUp for all billing. Please note that there is a 4.5% processing fee any payment type.  Do you understand and agree to these billing terms? *
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This form was created inside of NOBLE TUTORS LLC. Report Abuse
Google Forms