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Summer Registration Form 2023
Please complete this form to register your child for small group and individual sessions this summer. EACH CHILD does require their own registration form.
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Email
*
Your email
Parent's Name
*
Your answer
Parent's cell phone number
*
Your answer
Child's name
*
Your answer
Child's school district and school
*
Your answer
Please choose the grade your child will be entering in the fall.
*
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
Please choose the type of tutoring you are interested in for your child this summer.
*
One-on-one tutoring
Small Group Sessions
Both one-on-one and small group sessions
If your child has any food allergies please list them below.
Your answer
If there are any dates that your child will be out of town or unable to attend tutoring, please list them here.
Your answer
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