Student Registration

Student/Mentee Registration Form
Student's Name: *

First Name Last Name
Birth Date: *

Month Day Year
Age: optional
Grade or level of study (optional)
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I am signing up for *

Live class tutoring E-learning contents. Only homework solutions and guidance Only mentorship
If you choose to attend live class tutoring, indicate your preferences or simply type your prefer choice below.
Choose your preferences: If you choose other, please indicate by typing your preferences in the box above.

I want an individual or one on one class I want a group class

By submitting this form you agree to participate in our online class. It is understood that every precaution will be taken for the safety of every student during the online class, but in the event of accident or sickness, Abo Aondofa Ephraim is hereby released from any liability. The emergency contacts provided will be used if such situations occurs.

Student/Mentee Registration Form