Math Doctor: New Student Registration

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Who is filling out this form?* This field is required.If you're the student, please have a conversation with your parents first before continuing.
Parent/Guardian
Student
2
Name of Parent/Guardian* This field is required.
First Name
Last Name
3
Parent's Email* This field is required.Invoices, agreement forms, and important communication will be delivered here.
example@example.com
4
Parent's Mobile Phone Number* This field is required.
Area Code
Phone Number
5
Name of Student 1* This field is required.
First Name
Last Name
6
Name of Student 2Kindly skip the question if this doesn't apply.
First Name
Last Name
7
Student's Email* This field is required.An event invitation (with the online meeting link, if applicable) will be sent to this email address.
example@gmail.com
8
Student 2's EmailKindly skip the question if this doesn't apply.
example@gmail.com
9
Student 1's Mobile Phone Number* This field is required.Tutors at Math Doctor are trained to contact the student directly if the student hasn't shown up 5 minutes past scheduled time.
Area Code
Phone Number
10
Student 2's Mobile Phone NumberKindly skip the question if this doesn't apply.
Area Code
Phone Number
11
Birthday of Student 1* This field is required.We are trained to do something special for the student in the week of his/her birthday.
Date
Year
Month
Day
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Birthday of Student 2Kindly skip the question if this doesn't apply.
Date
Year
Month
Day
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What grade is/are the student(s) currently in?* This field is required.As of the 2025/26 School Year
14
Which school(s) does the student(s) go to?* This field is required.If your child is homeschooled, or attends school online, kindly indicate so.
15
Precisely which subject(s) are you looking for support?* This field is required.Although not required, kindly share with us the Course Code if possible.
16
Are you looking for Homework Help or Math Enrichment?* This field is required.This will give the tutor a better idea of how to organize weekly lesson plans. Homework help means the Tutor will align his/her instruction based on what the student is learning in school.
Homework Help
Math Enrichment
17
How does your child(ren) learn best?* This field is required.We will tailor our instruction based on your response.
Please Select
Visual: Learn by Seeing
Auditory: Learn by Hearing
Read/Write: Learn by Note-taking
Kinesthetic: Learn by Doing
Unsure
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Does your child(ren) have any learning difference(s)?* This field is required.
Please Select
None of the Above
ADHD
Dyslexia
Dyscalculia
Executive Functioning Challenges
Other
19
Which weekly tutoring plan would you like to sign up for?* This field is required.Note: The 45-Minute Express Plan is designed for students in Grades 2 to 6.
In-Home 1-on-1 Tutoring ($80 per hour)
Virtual 1-on-1 Tutoring ($70 per hour)
Virtual 1-on-1 Tutoring ($60 per 45 minutes)
Post-Secondary: Virtual 1-on-1 Tutoring ($80 per hour)
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For in-person tutoring, this map shows the area we're comfortable travelling to.Status as of October 2025: Limited Spaces Available
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Please share with us your address or closest major intersection.* This field is required.If you'd like the tutoring session to take place in your local public library, kindly indicate the name of the library.
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Do you have a preference on which tutor you'd like to go with?* This field is required.
Preferably a Female Tutor
Preferably a Male Tutor
No Preference
Tim Chan (+$5 per session)
Other
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Why are you seeking tutoring?* This field is required.Tell us a little bit about your child and his/her situation in math and/or science.
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If tutoring was successful, what would that look like?* This field is required.
25
What day(s) and time(s) of the week works best for the student(s)?* This field is required.We work with our students 1-on-1 at a set weekly schedule. This helps build accountability and consistency. Kindly include 2 or 3 options for us to pick from.
26
When would you like your child(ren) to start weekly tutoring?* This field is required.
Date
Month
Day
Year
27
Anything else that would be helpful for us to know? * This field is required.Do you have any questions for us?
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How did you hear about us?* This field is required.
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Terms and Conditions* This field is required.(Updated: August 2025)
Should be Empty: