Tutoring Student Re-registration Form
Fill out the form carefully for re-registration. If your answer is "YES" kindly proceed to complete form. If " NO" or "NOT SURE", scroll to the bottom and submit.
Student Full Name
*
First Name
Last Name
Have there been any changes in your child's instructional support needs?
*
Yes
No
Not sure
Parent/Guardian Full Name
*
First Name
Last Name
Preferred tutoring times
*
Monday 4:30–5:30 PM
Monday 5:30–6:30 PM
Tuesday 4:30–5:30 PM
Tuesday 5:30–6:30 PM
Wednesday 4:30–5:30 PM
Wednesday 5:30–6:30 PM
Thursday 4:30–5:30 PM
Thursday 5:30–6:30 PM
Saturday 9:00–10:00 AM
Saturday 10:00–11:00 AM
Saturday 11:00 AM–12:00 PM
Saturday 12:00–1:00 PM
School Attending
*
Please explain any new concerns, class teacher feedback, or changes in focus areas
How many sessions per week would you prefer?
*
Please Select
1
2
3
4
5
Support area(s) needed this term
*
Math
English
Reading/Comprehension
Writing
Spelling/Phonics
Science
Homework Support
Exam Preparation
Other
Other
Additional Comments/Requests about the child
Preferred times are requests only and depend on availability.
Preferred start date
*
-
Day
-
Month
Year
Date
Date
*
-
Month
-
Day
Year
Date
Submit Application
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