Supervised Learning Support
Registration Form
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Email *
Student's Name *
Current grade as 0f 05/15/2020 *
Address *
City, State, Zip *
Parent's Name *
Cell Phone Number *
Does student require special services (EIP, Speech Therapy, Occupational Therapy, tutoring services? *
Does student have allergies or a special diet? *
Does student have an IEP? *
In what areas does your child need the most assistance? *
Required
*
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A registration fee of $35 is required.  This fee is waived if you are a current tutoring client.  Only one registration fee required for multiple children in a family.  10% Discounts available for multiple children in one family.  Are you a returning client? *
Our regular one on one regular tutoring services are also available.  Would like additional information?
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We will once again offer homeschooling support in grades K-6.  Indicate below if you are interested and would like additional information. *
Pay registration and program fees at: https://checkout.square.site/buy/RS7Y5XRJHNCCK2GEMWHLIOVZ
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