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Looking forward to starting our journey together! Please reach out and let me know of your preferences, I am very flexible with subject requests and timings. 
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Student Name *
Guardian Name
*required if someone other than the student is filling the form on their behalf
Best way of contacting you  *
This will be where I reach out once I receive this form. I prefer phone number, but if email works better that is fine. 
Subject *
Currently Teaching: Math and CS 
Preferences for number of hours per week  *
i.e once a week, twice a week
Availability - Day *
Which weekdays and weekend days work 
Required
Availability - Time *
Required
Additional Requests or Comments
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