Math Doctor: Standardized Test Prep Student Registration

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Who is filling out this application?* This field is required.
Parent/Guardian
Student
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Name of Parent/Guardian
First Name
Last Name
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Parent's Email* This field is required.The monthly invoice and key communications will be sent to this email address.
example@example.com
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Name of Student* This field is required.
First and Last Name(s)
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Student's Email* This field is required.The Google event invitation will be sent to this email address.
example@example.com
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Mobile Phone Number* This field is required.
Area Code
Phone Number
7
For which standardized test are you looking for support?* This field is required.Roughly 20 to 30 hours of 1-on-1 instruction is recommended for most students.
ACT ($70/hr)
GMAT ($75/hr)
GRE ($75/hr)
SAT ($70/hr)
SSAT ($70/hr)
Other
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Have you booked a test date? If so, when is it?If you have not yet booked a date for the standardized test, please kindly leave this blank.
Date
Month
Day
Year
9
Have you (or your child) done a mock practice test before? If so, what was the score?* This field is required.
10
What's your target score?* This field is required.Please be realistic.
11
For in-home tutoring, this map shows the area we're comfortable travelling to.Status as of April 2023: Limited Spaces Available
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How would you like the sessions to be delivered?* This field is required.
In-Home 1-on-1 Tutoring (+$10 per visit)
Virtual 1-on-1 Tutoring
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What day(s) and time(s) of the week works best for you?* This field is required.Please kindly include your top 2 preferred timeslots for scheduling purposes.
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Anything else that would be helpful for us to know? * This field is required.Do you have any questions for us?
15
How did you hear about us?* This field is required.
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When would you like to get started?* This field is required.
Date
Month
Day
Year
17
Test Prep List of Services* This field is required.
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ORDER SUMMARY
CAD
SubtotalCAD
Total costCAD
1-on-1 In-Person Tutorial Session (SSAT/ISEE)Hourly Rate | Includes (1) Diagnostic Assessment
$80.00CAD+Edit
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Subtotal: $0.00CAD
1-on-1 Virtual Tutorial Session (SSAT/ISEE)Hourly Rate | Includes (1) Diagnostic Assessment
$70.00CAD+Edit
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1-on-1 In-Person Tutorial Session (SAT/ACT)Hourly Rate | Includes (1) Diagnostic Assessment
$80.00CAD+Edit
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Subtotal: $0.00CAD
1-on-1 Virtual Tutorial Session (SAT/ACT)Hourly Rate | Includes (1) Diagnostic Assessment
$70.00CAD+Edit
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1-on-1 In-Person Tutorial Session (GMAT/GRE)Hourly Rate | Includes (1) Diagnostic Assessment
$85.00CAD+Edit
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1-on-1 Virtual Tutorial Session (GMAT/GRE)Hourly Rate | Includes (1) Diagnostic Assessment
$75.00CAD+Edit
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Credit Card
First Name
Last Name
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