BMHS Tutoring Registration - 2023
Beginning January 10, 2023, tutoring will be available Tuesday and Thursday afternoons from 3:00-4:30. 
Please complete the registration form for your child to attend after school tutoring. 
Sign in to Google to save your progress. Learn more
Email *
Student Name *
Grade
Clear selection
Parent/Guardian Name: *
Parent/Guardian Phone Number: *
Parent/Guardian Name:
Skip this if there isn't a second parent/guardian to list.
Parent/Guardian Number:
Skip this if there isn't a second parent/guardian to list.
Additional adults allowed to pickup your child: *
Please list the name AND phone number for any other adults allowed to pickup your child from the tutoring program.  Put N/A if the parent/guardian(s) listed above are the only ones allowed to pick your child up. 
Please read the guidelines for after-school tutoring and agree to the statements below...
I acknowledge that I have read and understand the guidelines for the after school program at Brindlee Mountain High School. *
I acknowledge that my child may be removed from the program at the discretion of the school administration. *
I acknowledge that government-issued identification may be required to pick up my child.  *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Marshall County Schools. Report Abuse