BPC Tutoring Registration Form

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Student Name *

Grade Level *

Subject(s) needed help with (Please list) *

Specific objective(s), if known *

Parent/Guardian Name *

Address *

Phone number *

Cell phone number (if applicable) *

Email *

I understand that the volunteers at Bethlehem Presbyterian Church will do the best that they can to help with my child's academics and that neither the volunteer tutor(s) nor the church will be held responsible for the success of my child at school. *

I understand

Required

I understand that use of internet will not be part of these tutoring sessions. Tutors will reference Virginia's SOL's when appropriate. My child will bring assignments and needed materials to each tutoring session. *

I understand

Required

Please acknowledge the following: I have reviewed Bethlehem Presbyterian Church's Tutoring Information displayed on the church's website, and I understand that COVID-19 guidelines as set forth by the state of Virginia will be followed with the exception that adult volunteers, out of necessity, may need to be closer to the students in order to monitor their work. *

I acknowledge the above statement.

Required

Date *

YYYY

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