Registration Form

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Registration Form

Welcome to the online registration for the CTTS Initiative for students. Teachers will provide virtual tutoring in reading and math for students in Alachua County. A desktop computer or laptop with internet, video, and audio capacities is needed. To enroll and make an appointment for your child (ren), please complete the information below.

NOTE: Parents must identify an active phone number and email address where parents/guardian and student can be reached. Incomplete and inaccurate information may delay your child(ren) program enrollment and tutoring appointment.

Name and Age(s) *

Email *

Address *

Cell Phone Number *

Grade Level *

Subject Area *

Reading

Math

Social and Emotional Support Due to COVID-19

Required

Parent/Guardian Name *

Parent/Guardian Email Address: *

Will Your Child Require a Loaner Computer or Internet Access to participate in program? *

Yes

Internet Access

Required

Parental Agreement *

Provide my child with a quite learning environment that is free of distraction.

Provide my child with a desktop computer or laptop that has video and audio connections.

I understand that the cell phone and IPads may limit the function of some online platforms.

I will assist my child with connecting to the virtual tutoring appointment as necessary.

Ensure my child(ren) report on-time for virtual tutoring appointment

I understand that the online session will be discontinued if students are more than 15 minutes late for an appointment

Ensure my child has learning materials (pen, pencil and paper) available before the virtual appointment begins.

I understand that program administrators may limit or extend the time of individual students sessions based on weekly availability and individual students needs.

Required

Electronic Signature *

Date *

YYYY

Submit

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