LexYouth Learning Program - Student Registration
Inspire, Lead, Grow!

Welcome to LexYouth Learning Help Program, sponsored by CALex Education Committee.

We have partnered with advanced student tutors to enable them to tutor and share their expertise in various subjects.  If your child is interested in paring up with a tutor in academics or extra curricula, please sign up here.

While this is a free tutoring program, we do need donations from the parents to support the daily operations of the platform, help youth development, and support the community.

Contact us: LexYouth2020@gmail.com

Thank you!

LexYouth
www.LexYouth.org
Sign in to Google to save your progress. Learn more
Email *
Student's full name (学生名字) *
Parent's name (父母的名字) *
Parent's email (父母电邮地址) *
Parent's phone (父母电话) *
Student's current town, school and grade (e.g. Hastings/4) (学生所在的镇,学校和年级,比如 Lexington/Hastings/4) *
Choose your first choice of Subjects(第一学科选择) *
Choose your second choice of Subjects(第二学科选择)
Please provide more details on the areas you are looking for tutoring (请尽可能提供需要帮助地方的具体信息).  Please specify if students with special needs.  It will be kept private but will help match the right teacher (有特殊学习需要的学生请注明,便于我们匹配合适的老师). *
Student's available time (can be updated later) (学生有空时间,) *
How did you hear about this program? (您如何得知这个报名表)
City/Town and State if the school is not in Lexington, MA (如果学校不在Lexington,请提供市名/镇名和州名)
Any questions or comments? (任何其它问题,请输入)
Parent/Guardian Waiver: By checking this box, you hereby permit the LexYouth Learning Help Program to contact your child regarding the tutoring program. You understand that the LexYouth Learning Help Program does not regulate or control your child's conduct in the tutoring sessions. You agree to be solely responsible for your child's behavior and online safety through this tutoring program. You also agree to waive, release, and hold the LexYouth Learning Help Program harmless from all claims or liabilities of any kind arising from or relating to your child's participation in the LexYouth Learning Help Program. *
Required
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy