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Private Tutoring-Fall
Pre-registration Form
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* Indicates required question
Email
*
Your email
Parent / Guardian's Name
*
Your answer
Contact Number
*
Your answer
email address
*
Your answer
Child's Name
*
Your answer
Child's Age
*
6
7
8
9
10
11-13
Tutoring interest (Check all that apply.)
*
reading comprehension
academic writing
basic digital literacy
phonics
grammar
Required
Last grade level completed
*
Choose
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
Does your child have an IEP?
*
yes
no
In addition to English, does your child speak another language?
*
yes
no
Choose the package you are most interested in reserving.
*
Choose
4-week 12-hour class
6-week 12-hour class
6-week 18 hour class
9-week 18 hour class
8-week 24 hour class
12-week 24-hour class
How did you hear about Technology And Literacy Enrichment?
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friend/colleague
Google
Yelp
Facebook
website
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