Tutoring Form: Meryl's Magic Math
Welcome to Meryl's Magic Math Tutoring.  We are excited to help your student reach their math goals!  Before we can do that, please fill out the information below and read our policies.

The data collected allows for parent/guardian communication about progress and updates in tutoring. Subject/grade/school information helps determine the best tutor on the team for your student. You have a right to your information. You may request to change or erase the data at any time.

After receiving your information, you'll be contacted within 1 business day to set up the first session.

Looking forward to working with you! Feel free to email any questions to: merylsmagicmath@gmail.com

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Student's Name *
Math subject to be tutored? *
Student's Grade/Year in School *
What school?  Math teacher's name? *
Would you like to receive text reminders the day before sessions? *
If so, list the name and phone number to receive the text reminder (this can be the student or parent)
Emergency Contact Name and Relationship to Student *
Emergency Contact's Cell Phone Number *
Emergency Contact's Email *
Other Parent/Guardian's Name
Other Parent/Guardian's Cell Phone
Other Parent/Guardian's Email
How did you hear about Meryl's Magic Math (if someone referred you they get a free tutoring session. The same applies to you--tell your friends!)? *
What are the best days for tutoring? *
Required
How frequently do you want tutored? *
Which option are you interested in? Please note: I recommend 45 minutes if your goal is to improve 1 letter grade or enrichment, and 60 minutes to improve 2+ letter grades *
Student Email (used to send Zoom login information)
What is your ideal payment method? *
What is the student's goal? What would successful math tutoring look like? *
Please review Meryl's Magic Math Tutoring Policies. After reading my policies, please select the box that indicates your acceptance or rejection of my policies. Go to: https://drive.google.com/file/d/1p1Cu9IXZhkYEpgUBwxAib3mqAhfcu32V/view?usp=sharing *
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