Accessible Learning Solutions, LLC New Client Registration Form
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Client (Student) Name *
Parent/Guardian Name *
Parent/Guardian Phone Number *
Parent/Guardian Email Address *
Current Grade Level of Student *
In which subject(s) are you seeking support? *
Required
Which types of sessions are you seeking? *
Required
How many sessions are you wanting to schedule per week? *
What session lengths are you wanting to schedule? *
What days do you prefer to have tutoring sessions? (Please check all that apply). *
Required
In which Time Zone are you located?
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What time of day would work best to schedule our tutoring sessions? Please be mindful of not only scheduling convenience, but when the student will be best prepared and ready to learn. (Please check all that apply). *
Required
Accessible Learning Solutions, LLC aims to serve ALL individuals in need of academic support. If you need financial support, please check here: (Please note, those who are seeking Financial Aid options when funds are available will be asked to provide proof of household income such as pay stubs)
As Accessible Learning Solutions, LLC relies on the generous support of others, please let us know if you would like to support us in one or more of the following ways:
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