BtB Tutoring Registration Form
Please complete this form to register your student for the BtB tutoring program for the 3rd Quarter sessions. You may choose both Tuesday and Thursday sessions or choose either Tuesday or Thursday. The fee structure is $14 a session and payment is made for the entire session, regardless of attendance. For both Tuesday & Thursday the fee is $210. For Tuesday only the fee is $112 and for Thursday only the fee is $98. Please allow a 24 hour processing time, and a member of the  BtB staff team will reach out to you and welcome you and your student. Welcome to our Tutoring Program! We are so glad you are here.
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Email *
Student First Name *
Please indicate which days you are registering your student for. *
Required
Student Last Name *
Grade level *
Math Teacher *
Crew Leader *
Parent First Name *
Parent Last Name *
Primary Phone Number *
Primary Email Address *
Emergency Contact/Pick-Up *
Emergency Contact/Pick-Up *
Emergency Contact/Pick-Up *
Parent - Provider Contract
By reading and signing for the policies below you are acknowledging acceptance.

The Franklin Beyond the Bell Program agrees to provide written notification of all changes in policies and two weeks’ notice for any change in fees.

I understand that my child will be released ONLY to those listed on my Emergency Contact/Authorized Pick Up List and agree to amend my list as needed. I also understand when my child has been released to one of the above named people, his or her welfare is no longer the responsibility of Franklin Beyond the Bell (BTB) *
Required
The staff has permission to evaluate simple injuries and apply first aid if necessary. In the event of serious injury or illness and if I cannot be reached, my child has permission to be treated by his/her Physician, by the medical personnel if 911 is called or hospital emergency services. If 911 is called and transportation by ambulance is necessary, I give my permission for transport. *
Required
I agree to pay the registration fee ($15/child or $25/family) during registration. I will reserve my student(s) BTB days and pay all fees by the Friday before the week my student(s) attend. I understand that prepayment for all BTB services, clubs, programs and events is required. The daily fee is $14, $25 for 1PM and 12 PM release days. $3 for before school care. *
Required
Please sign your full name attesting that you have read and agree to the Beyond the Bell terms and policies *
I give permission for the Franklin Beyond the Bell Program to photograph my child while involved in after school activities. Photographs may be placed on our bulletin boards and website for parent and children viewing. I understand that my child’s identification (name and age) will not be disclosed. *
A copy of your responses will be emailed to the address you provided.
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