For Students:

For Students:

Subject Tutoring, homework help, test prep, and enrichment programs
Parent/Guardian Name*

First NameLast Name
Preferred Method of Contact*
Enter Phone/Email Address*
Student Name

First NameLast Name
Date Of Birth

MonthDayYear
Date
Current School
Grade
Area Of Concern
Tutoring Preference*

In-personVirtual
Does the student have an IEP or 504 plan?

YesNo
I Accept the following Terms and Conditions
Attendance: Regular attendance is encouraged for best results. Missed sessions without notice may not be eligible for make-up.

Cancellation & Rescheduling: We understand that plans change. Please notify us at least 24 hours in advance to cancel or reschedule without penalty. Sessions canceled with less than 24 hours' notice may be subject to a fee.

Payment: Payment for sessions is due at the time of booking unless otherwise arranged. Accepted payment methods include credit/debit cards and secure online payments.

Privacy: All personal information and student data are kept strictly confidential and used only for the purpose of providing educational services. Our online systems are secured to protect your privacy.
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