Inkwell Pre-Registration

Tutoring Pre-Registration

Please provide all information pertinent to our accommodating your preferences and meeting your needs for academic support.
Primary Parent Name*

First NameLast Name
Primary Parent Email*
example@example.com
Re-type Email.*
Cell Phone Number*
Best Times to Call*
Student Grade Level*
Student Name*

First NameLast Name
Type of Tutoring

Private for 1 studentShared for 2 students

What do you want help with?*
Indicate days available for tutoring.*

MondaysTuesdaysWednesdaysThursdaysFridaysSaturdays
Indicate times available for tutoring.*

mornings (9:00 - noon)afternoons (1:00 - 4:00)evenings (5:00-8:00)