ECR Initial Contact
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Email *
Today's Date *
MM
/
DD
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YYYY
First Name *
Last Name *
Child's Name *
Child's Grade *
Phone Number? *
Preferred Email Address *
I prefer to be reached by: *
Where we live *
Required
The best times for tutoring are *
Before School
Early Afternoon
Late Afternoon
Evening
Not Available
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Big Questions related to your student: *
I am interested in accessing tutoring: *
Required
Has your child received tutoring or attended Superstar Summer Camp in the past? *
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