DVA Registration Form
By completing and signing this form, you acknowledge and agree to all Thrive Tutors' Policies, Terms, and Conditions, which can be found at the bottom of this page.
ParentGuardian Name
*
First Name
Last Name
ParentGuardian Email
*
ParentGuardian Phone Number
*
Please enter a valid phone number.
Format: 0000 000 000.
Address
*
Street Address Line 1
Street Address Line 2
City
State
Post Code
Child Name (1)
*
First Name
Last Name
Child Year Level
*
Please Select
Prep
Year 1
Year 2
Year 3
Year 4
Year 5
Year 6
Year 7
Year 8
Year 9
Year 10
Year 11
Year 12
Child Name (2 - Optional)
First Name
Last Name
Child Year Level
Please Select
Prep
Year 1
Year 2
Year 3
Year 4
Year 5
Year 6
Year 7
Year 8
Year 9
Year 10
Year 11
Year 12
What subjects is your child currently struggling with?
*
Are you already approved for DVA Funding?
Yes
No
If YES, please upload your DVA Eligibility Confirmation Form:
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What is your preferred daytime for tutoring? (Please select minimum 2)
*
Rows
Morning
3-4pm
4-5pm
5-6pm
6-7pm
7-8pm
Monday
Tuesday
Wednesday
Thursday
Friday
Weekends
ParentGuardian Signature:
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