OAF Academy Registration Form

OAF Academy

Registration Form
Please complete the form below if you are interested in receiving tutoring services. Sessions are offered remote only. Families with up to 8 students can fill out one form. Once we receive your form, we will reach out to schedule an assessment.
Relationship to student(s)
Mother , Father , Aunt , etc
Did a Parent or Student Recommend? If Yes, please enter their name below.
Parent's Information

*Adult students - Fill out your own information as a parent and Student
Parent/Guardian First and Last Name

First NameLast Name
City and State
what city or state do you live in?
Email
example@example.com
Secondary Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Preferred contact method
Preferred Curriculum

Other
What days of the week and time are your student(s) available to be tutored?
When is a good time to contact you about your Registration?
Morning,Afternoon,Evening,Mondays etc
Intended start date.

MonthDayYear
Preferred start date
Student's Information

You can register up to 8 students. If you need to add more student’s please fill out a separate registration form.
Student

First NameLast Name
Student's Grade
Enter student's Grade e.x 4th Grade , Adult Ed, Pre-k etc.
Student’s Email
**This email will be used as the student’s log in on the portal. If the student doesn’t have an email a username will be generated. Parents have access to student accounts.
Does the student have an IEP or 504?Do they receive special education or intervention services at their school? If yes , please provide details. If not, put "No"
Please tell us more about the areas in which the student needs support. ( also please indicate if you would like me to monitor your student(s) LMS I.e google classroom, canvas Edmodo etc.
Student

First NameLast Name
Would you like to add another student.
Student's Grade
Enter student's Grade e.x 4th Grade , Adult Ed, Pre-k etc.
Student’s Email
**This email will be used as the student’s log in on the portal. If the student doesn’t have an email a username will be generated. Parents have access to student accounts.
Does the student have an IEP or 504?Do they receive special education or intervention services at their school? If yes , please provide details. If not, put "No"
Please tell us more about the areas in which the student needs support.
Would you like to add another student.
Student

First NameLast Name
Student's Grade
Enter student's Grade e.x 4th Grade , Adult Ed, Pre-k etc.
Student’s Email
**This email will be used as the student’s log in on the portal. If the student doesn’t have an email a username will be generated. Parents have access to student accounts.
Please choose all areas in which the student needs support.

Other
Does the student have an IEP or 504?Do they receive special education or intervention services at their school? If yes , please provide details. If not, put "No"
Please tell us more about the areas in which the student needs support.
Would you like to add another student.
Student

First NameLast Name
Student's Grade
Enter student's Grade e.x 4th Grade , Adult Ed, Pre-k etc.
Student’s Email
**This email will be used as the student’s log in on the portal. If the student doesn’t have an email a username will be generated. Parents have access to student accounts.
Does the student have an IEP or 504?Do they receive special education or intervention services at their school? If yes , please provide details. If not, put "No"
Please choose all areas in which the student needs support.

Other
Please tell us more about the areas in which the student needs support.
Would you like to add another student.
Student

First NameLast Name
Student's Grade
Enter student's Grade e.x 4th Grade , Adult Ed, Pre-k etc.
Student’s Email
**This email will be used as the student’s log in on the portal. If the student doesn’t have an email a username will be generated. Parents have access to student accounts.
Does the student have an IEP or 504?Do they receive special education or intervention services at their school? If yes , please provide details. If not, put "No"
Please choose all areas in which the student needs support.

Other
Please tell us more about the areas in which the student needs support.
Would you like to add another student.
Student

First NameLast Name
Student's Grade
Enter student's Grade e.x 4th Grade , Adult Ed, Pre-k etc.
Student’s Email
**This email will be used as the student’s log in on the portal. If the student doesn’t have an email a username will be generated. Parents have access to student accounts.
Does the student have an IEP or 504?Do they receive special education or intervention services at their school? If yes , please provide details. If not, put "No"
Please choose all areas in which the student needs support.

Other
Please tell us more about the areas in which the student needs support.
Would you like to add another student.
Student

First NameLast Name
Student's Grade
Enter student's Grade e.x 4th Grade , Adult Ed, Pre-k etc.
Student’s Email
**This email will be used as the student’s log in on the portal. If the student doesn’t have an email a username will be generated. Parents have access to student accounts.
Does the student have an IEP or 504?Do they receive special education or intervention services at their school? If yes , please provide details. If not, put "No"
Please choose all areas in which the student needs support.

Other
Please tell us more about the areas in which the student needs support.
Would you like to add another student.
Student

First NameLast Name
Student's Grade
Enter student's Grade e.x 4th Grade , Adult Ed, Pre-k etc.
Student’s Email
**This email will be used as the student’s log in on the portal. If the student doesn’t have an email a username will be generated. Parents have access to student accounts.
Does the student have an IEP or 504?Do they receive special education or intervention services at their school? If yes , please provide details. If not, put "No"
Please choose all areas in which the student needs support.

Other
Please tell us more about the areas in which the student needs support.
Parent/Student's Signature
Should be Empty:

OAF Academy

Parent's Information

Student's Information