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CPC Tutoring Sessions
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First Name
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Last Name
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Contact Number
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Gender
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Please enter the product number
Male
Female
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Address (State, City, Zip Code)
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Emergency Contact Number
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Emergency Contact Relationship
Mother
Father
Sibling
Friend/Other
*** THIS QUESTION ONLY APPLIES IF SESSION ARE IN PERSON***Please list any health issues:
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Please indicate organ system(s) seeking additional guidance.
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Tutoring Session Fees
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1 Hour- $25
2 Hours- $50
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Please schedule your tutoring session (s) at the link below.
https://calendar.app.google/ytxexyK25kkAUk7SA
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