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Supervised Study Hall Registration
Register now to get access to a quiet and dedicated learning environment with supervision by our expert Tutoring Specialists!
10
Questions
START
1
First things first, what's your
student's name
?
*
This field is required.
First Name
Last Name
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2
And what
grade
is {studentName:first} in?
*
This field is required.
Please provide their grade level as of the
2024/2025
school year.
Please Select
7
8
9
10
11
12
Other
Please Select
Please Select
7
8
9
10
11
12
Other
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3
Now, what
school
does {studentName:first} attend?
*
This field is required.
Click the box below, then start typing to search.
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4
We also need {studentName:first}'s
birthday
to help secure their account?
-
Date
Year
Month
Day
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5
Great, and what's the
name
of {studentName:first}'s parent who will be on the account?
*
This field is required.
This should also be whoever is going to be the billing contact for the course
First Name
Last Name
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6
Thank you! Now, what's a good
email address
for {full_name:first}?
*
This field is required.
We will send you an email once you complete this form, and may send follow up emails to get you setup or to let you know about further service offerings and promotions!
example@example.com
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7
And what's {full_name:first}'s
cell phone number
?
*
This field is required.
Please enter a valid phone number.
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8
How did you
hear about
our supervised study-hall program?
*
This field is required.
Please Select
Another parent or student of Frontier Tutoring
I've used Frontier Tutoring services before
School counselor
School newsletter
School event
Homeschool program
North Star Tutors
Web search
Online ad
Webinar
Other event
Other
Please Select
Please Select
Another parent or student of Frontier Tutoring
I've used Frontier Tutoring services before
School counselor
School newsletter
School event
Homeschool program
North Star Tutors
Web search
Online ad
Webinar
Other event
Other
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9
Please describe the other way that you heard about our study hall!
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10
What is the full name of the person who referred you to us?
First Name
Last Name
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11
As you probably expect, we need you to read and agree to our
terms and conditions
to receive services.
*
This field is required.
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12
You've made it! Now let's just make sure you are a person and we're good to go
*
This field is required.
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13
Unique Submission ID
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14
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15
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16
UTM_Campaign
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17
UTM_Medium
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18
UTM_Source
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19
UTM_Content
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20
UTM_Term
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