Tutoring Registration Form

Tutoring Registration Form

Returning Students
Welcome back!

This form is for students who have done tutoring with us previously and would like to sign up for another semester.

Refer to our Tutoring Information Pack for important information on our pricing, billing system, and cancellation policy.

Please fill out this form and we will get back to you to confirm your registration.
Student Details:
Student Full Name*

First NameLast Name
The student is a*

ChildAdult
Student Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Student Phone Number
Student E-mail
example@example.com
School Level*

High School (grades 8-12)College & University
If the student has learning disabilities, please describe them here.
Parent Details:
Parent Full Name*

First NameLast Name
Parent Phone Number*
Parent E-mail*
example@example.com