Traveling Tutor Student Intake Form
Welcome to TEAL Education Services! Please fill out this form to the best of your knowledge. For questions contact us at: Ph: 301-266-5507 or visit tealeducationservices.com

Please complete one form per student if you are registering more than one child.

COVID 19 - We are following the State of Maryland's guidelines and are in communication with Anne Arundel's County's Department of Health with regards to providing tutoring services.
The current phase of reopening within the county permits this service and we will monitor for any changes.
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Email *
Parent First name
Parent Last Name
Student First Name
Student Last Name
Home Address
Date of Birth
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Age
Grade
Student Email
Parent 2 Name and Email
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