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Enrichment Webinar Sign-Up
To get the best information for our tutors, it is recommended to complete the questions with your scholar.
Due to creating a personalized experience for each student, if multiple children are being signed up, please fill out a separate form for each child.
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Email
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Your email
How did you hear about us?
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Choose
Our website
Social Media
Personal Referral
Other
If you were personally referred by someone, list their name below.
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Full Name of Parent
*
Your answer
Scholar's First Name
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Your answer
Scholar's Last Name
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Your answer
Primary Phone Number
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School District
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Your answer
Current Grade (2019-2020)
*
Choose
1st
2nd
3rd
4th
5th
6th
7th
8th
What are your scholar's academic strengths?
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Please indicate which area(s) enrichment is desired.
*
Reading/Language Arts
Science
Spelling
Writing
Math
Other:
Required
Aside from the subjects, please describe your scholar's academic struggles.
*
Example: Struggles with organization, staying on task, connecting with the content, etc.
Your answer
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