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Online Learning General Info Form
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* Indicates required question
Name
*
Your answer
School
*
Your answer
What is your preferred email for direct contact?
*
Your answer
What is your preferred phone number for direct contact?
*
Your answer
What is your preferred lesson format?
*
Zoom (1-1 live online)
In-Person (local only)
Unlisted YouTube Playlist (video assessment)
Preferred Length of Lesson Time
*
30 minutes ($30)
45 minutes ($40)
60 minutes ($50)
Other:
What is your preferred online payment method?
*
Venmo
PayPal
Zelle
Other:
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