FALL 2023 & SPRING 2024 Tutoring Registration

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Tutoring sessions are limited so reserve your spot today!
Questions: Call Joan Holland at 251-380-2891 or Email: jmholland@southalabama.edu

Who: Kindergarten through Twelfth Grade Students

What: Individual and/or Small Group Reading Tutoring with remote option

Pricing: Registration and Initial Assessment Fees: $75.00

Individual Session: $40.00
Small Group Session (2-5 students): $25.00

Register Below!

Student's First and Last Name *

Date of Birth (mm/dd/year) *

Mailing Address *

City *

State *

Zip Code *

Home Phone# *

Cell Phone# *

Gender *

School *

Student's Grade Level *

TUTORING SESSION CHOICES (PLEASE MARK ALL THAT APPLY) *

Monday

Tuesday

Wednesday

Thursday

Option 17

Required

Choose Setting(s): *

Individual Tutoring ($40.00 per session)

Small Group Tutoring ($25.00 per session)

Required

PARENTAL OR GUARDIAN PERMISSION

I am the parent/guardian of the above named student, and I give full permission and consent to the agents and employees of the USA Literacy Center. I also give permission for my child’s image to be used in promoting the Literacy Center in the media and other promotional activities.

Digital Signature *

Date *

YYYY

Home Phone# *

Work Phone# *

Cell Phone# *

Email Address *

Emergency Contact *

Emergency Contact Phone# *

Please include payment information below. *

Check will be mailed to University of South Alabama to the address indicated above. I understand the deadline for registration and final payment information still applies as indicated in the letter above

Will pay by credit card by phone.

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