REAL-Time Access to Early Literacy Tutoring
Student Registration-------Submit one survey for each child you wish to enroll.
Student Information (To be completed by Parent or Guardian)
Student Last name *
Student First Name *
What school is your child enrolled in? *
What grade is your child currently in? *
Parent or Guardian's Name *
Parent or Guardian's Phone Number (include area code) *
Parent or Guardian's Email Address
Please access the link below to see the Tutoring Service Provider Guide
After Viewing the Tutoring Service Provider Guide, choose below your First and Second Choice for Tutoring Providers
First Choice *
Second Choice *
Parent/Caregiver Acknowledgement of Service Request. By signing and dating below, I give permission for my child's school to give my contact information to the requested service provider. I also understand that once my child is enrolled in tutoring sessions, it is important for my child to attend.
Type your name below *
Choose today's date *
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Do you have a question or comment you need to add before submitting?
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