Wordpress Tutorial Student Registration Form

Tutorial Student Registration Form

Please complete the form below. Our coordinators will contact you within 24 hours to confirm your schedule.
Basic Information
Student Full Name*

First NameLast Name
Parent's Name*

First NameLast Name
School Information*

School Name

County

CityState / Province

Postal / Zip CodeCountry
Year Level*
Mathematics (Grades K–3)Science (General, Grades K–3)Social Studies (Grades K–3)Language Arts / English (Grades K–3)Amharic LanguageOromiffa LanguageTigrigna Language
Mathematics (Grades 4–8)Pre-Algebra (Grades 7–8)Science (General, Grades 4–6)Life Science (Grade 7)Physical Science (Grade 8)Social Studies (Grades 4–8)Language Arts / English (Grades 4–8)Amharic LanguageOromiffa LanguageTigrigna Language
Mathematics – Algebra 1Mathematics – GeometryMathematics – Algebra 2Mathematics – Pre-Calculus / Advanced MathMathematics – CalculusScience – BiologyScience – ChemistryScience – PhysicsSocial Studies – U.S. HistorySocial Studies – World HistorySocial Studies – EconomicsSocial Studies – Government / CivicsEnglish Language Arts (Grades 9–12)Amharic LanguageOromiffa LanguageTigrigna Language
MondayTuesdayWednesdayThursdayFridaySaturdaySunday
MondayTuesdayWednesdayThursdayFridaySaturdaySunday
MondayTuesdayWednesdayThursdayFridaySaturdaySunday
Monday Time
Tuesday Time
Wednesday Time
Thursday Time
Friday Time
Saturday Time
Sunday Time
Total Number Of Sessions In a Month (Foundations)*
Total Number Of Sessions In a Month (Discovery G4-8)*
Total Number Of Sessions In a Month (College Prep)*
Total Monthly Tutorial Fee (Foundations)*
$15 per hour rate
Total Monthly Tutorial Fee (Discovery G4-8)*
$17 per hour rate
Total Monthly Tutorial Fee (College Prep)*
$20 per hour rate
Final Total Monthly Tutorial Fee*
Parent Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Parent E-mail*
example@example.com
Student Mobile Number (Requires Parent Approval)
Please enter a valid phone number.Format: (000) 000-0000.
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Tutorial Student Registration Form

Basic Information

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