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Parent's Name *
Parent's email address *
Parent's Phone Number *
Child's Name *
Child's School *
Child's Grade *
Are you interesting in having your child tutored in a single or multiple subject areas? *
In what subject area(s) would you like to have your child be tutored in. Check all that apply. *
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What are some things your child enjoys doing or is very good at? *
What are your child's greatest strengths in school? *
Describe any areas in which your child struggles in school. *
What are your greatest learning concerns for your child? *
Is your child currently receiving any special services? *
Describe how your child learns best. *
Is there anything else we should know about your child that would help us be successful with your child during tutoring? If yes, please explain.
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