2022-2023 Student Registration Form

The Saturday Tutoring Program

2022-2023 Registration Form
Student's Information
Name *

First Name Last Name
School *
Grade *
Home Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Parent or Legal Guardian Information
Name *

First Name Last Name
Phone *

Area Code Phone Number
Email *
Emergency Contact *

First Name Last Name
Phone Number *

Area Code Phone Number
Relation *
OUR EXPECTATIONS
THE SATURDAY TUTORING PROGRAM’S EXPECTATIONS
OF ALL STUDENTS & THEIR FAMILIES:
All families are asked to ACCEPT calls from our mass-message system, One Call Now, 877-698-3261; and to reach us, CALL our 24-hour voicemail, 216-505-0885, or email SaturdayTutoring@gmail.com.

BE IN THE BUILDING BY 9:45 A.M. and STAY UNTIL NOON. Students arriving after 9:45 a.m. will not be admitted. Students who cannot stay until the noon dismissal should not attend that Saturday.

BE PRESENT. Three consecutive unexcused absences warrant removal from our active roster

BRING assignments or homework:
         1. In the areas of English, reading, math, social studies, or science;

         2. Materials for scoring well on the Ohio Graduation Tests, SAT, or ACT;

         3. Materials for working on college applications, college scholarships, resumes

COMPLETE each Saturday’s writing assignment.

KEEP PHONES and electronic devices OUT OF SIGHT, on vibrate, or off during tutoring sessions unless permitted to use for an assignment.

FOLLOW the instructions of the tutors and staff.

Students, tutors, and families will NOT EXCHANGE personal information (phone numbers, e-mails, pictures, student progress, etc.) without the consent of a program director, Brittney Terrell or Rafael Sturdivant
By hitting submit and putting your initials, you agree that you are the parent or legal guardian of the above named child. You agree to comply with the expectations set forth by the Saturday Tutoring Program. Furthermore, the Saturday Tutoring Program is granted permission to use photos and/or video of the child in future promotional material.
Electronic signature, please initial *
Should be Empty:

The Saturday Tutoring Program

Student's Information

Parent or Legal Guardian Information

OUR EXPECTATIONS