2tor2u.com Intake Form
Welcome to 2tor2u.com!  Please take a moment to fill out this questionnaire so we can get to know you better. If you have any trouble with the form please view it in the browser.  Email or call me if you have any difficulties.
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Email *
What subject(s) does your student need help with? *
Student Name *
Student Phone Number (If applicable)
Student Email (If applicable)
What grade is your student in? *
What are their current grades? Do they like the subject(s)? Do they like their teachers?
Parent Phone Number *
Parent Name *
What is your address/general area? *
How did you hear about 2tor2u?
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