TUTORING REGISTRATION FORM: 24'

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Email *

MCMC's First Student

What is your name? *

What is your phone number?
*

What is the student's first & last name? *

What grade level is the student in this school year? *

What subject(s) does the student need tutoring in? *

In what county & state does the student attend school? *

Which class option(s) do you prefer? (Specific price is dependent on grade level & amount of classes reserved) *

VIRTUAL EXPRESS CLASS: Small group, 30-minute, online class [$29-$40 per class]

VIRTUAL ORIGINAL CLASS: Small group, 55-minute, online class [$39-$55 per class]

ONLINE AUXILIARY SESSION: 1-on-1, 30 minute, online class [$39-$55 per class]

ONLINE SPECIAL SESSION: 1-on-1, 55 minute, online class [$55-$85 per class]

SAT/ACT MATH PREP - VIRTUAL CLASS: Small group, 55 minute, online class [$39-$55 per class]

SAT/ACT MATH PREP - ONLINE SESSION: 1-on-1, 30 minute, online class [$39-$55 per class]

Required

Tutoring is typically available Monday through Thursday (afternoon/evening). Are there any schedule conflicts with these days/times? Your child's specific class time will be provided during the enrollment process. *

How many sessions per week would you like to schedule? *

1 SESSION

2 SESSIONS

3 SESSIONS OR MORE

Which frequency of payment do you prefer? *

Credit/debit: Features automatic payments through PayPal website (Payment monthly: same day each month)

Credit/debit: Features automatic payments through PayPal website (Payment every 4 weeks)

Credit/debit: Features automatic payments through PayPal website (Payment every 2 weeks)

How did you hear about us? *

Returning student

Friend, family, or an associate

Internet search

Other:

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