13th Man Tutorial Registration Form

Tutorial Registration Form

Tutorial is administered through a 100% virtual platform. Each student is required to participate for an 8-week session period. Please complete the form in its entirety.
Student Name*

First NameLast Name
Grade*
Phone*

Area CodePhone Number
Email Address*
example@example.com
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent Phone Number*

Area CodePhone Number
Parent Email*
example@example.com

Program Selection

Most general group sessions will be held on Saturdays between 9am to 12pm.
Program Options*

General Academic TutoringPSAT/SAT TutoringEnlistment ASVAB Prep
Best Times of Day (Use other to detail a specific time for a specific day)*

Morning (9 am to 12 pm)Afternoon (12 pm to 4 pm)Evening (4 pm to 8 pm)Other
General Academic Tutoring ONLY

Please select the subject area that you need assistance with from the drop-down box below.
Subject Area
Please give specifics on the subject area content (ex. Algebra, Pre-Calculus, Integers, Reading Comprehension, etc.)
What are your goals for the tutoring program? Be as specific as possible.
Summarize your child’s academic strengths and weaknesses.
Additional Comments
SAT Prep ONLY

Please give details about your SAT Prep needs.
Have you taken the SAT before? If so, which one and when?
If you answered yes above, what were your previous scores?
Are you registered for the SAT? If so, which one and when?
What area do you feel you need the most help?

Tutorial Registration Form