Registration Form 
Please complete this form to begin the registration process for your child/children.
Your Name *
Email *
Address *
Phone number
Child's name and grade
What school does your child attend? *
What subject does your child need tutoring in? *
Has your child ever been retained? (held back a grade)If yes, please explain. *
Do you need financial assistance? *
Have you applied for Ohio's Ace program? *
We offer tutoring from 3pm-7pm, Monday through Thursday. Please Identify the day that works for you. *
Required
What times work for you? *
Required
If you need to register another child, please list their name, grade and needs below.  *
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