Request edit access
2023 New Students.
Two 55 minute sessions per week.
Sign in to Google to save your progress. Learn more
Email *
Type of tutoring?
Clear selection
What device will the student be using to complete their tutoring sessions? Please note: Tutoring sessions cannot be completed on a tablet or iPad. * *
What program are you registering for?
Clear selection
Student's Name *
Student's age *
Student's Current Grade *
Parent/Guardian's Name and cellphone number *
Second Parent/Guardian's name and cellphone number *
Parent/Guardian Email Address *
Time slot preferred ( You will be notified if space is available) *
Method of Payment *
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Learning Disabilities Association of Newfoundland and Labrador. Report Abuse