After-School Tutoring Registration
Email *
Student Name *
Student Grade Level *
Parent/Guardian Name *
Best Contact Number After School (3p-4p) *
In which subject(s) do/does your student need assistance? *
Required
We offer tutoring Monday-Thursday. Please check which days of the week your student will attend. *
Required
What date will your student start tutoring? *
MM
/
DD
/
YYYY
If your student is absent from tutoring, would you like for us to contact you? *
I understand that I need to pick up my student promptly at 4pm or arrange for other transportation. *
Required
By typing your name below, you agree to the terms of DMS after-school tutoring. *
Is there anything else you'd like for us to know before we begin tutoring? *
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