Barakah Tutors Registration Form
 By filling out this form, you will be awarded a 25% discount on Barakah Tutor's tutoring services. This form is solely an expression of your interest in receiving tutoring services via Barakah tutors. Please visit our website at barakahtutors.com for more information. 
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Parent's First Name *
Parents Last Name *
Email Address? *
How many children would you like to receive tutoring? *
What are their ages?
On average, how many hours of tutoring do would each child need per week? *
What subjects would your child/children need tutoring for? *
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How would you like to receive tutoring?
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What is a fair price for tutoring? ($/hr)
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