Fall 2025 Registration

Fall 2025 Registration

Hello Parents! To register your child for the 25-26 school year, please fill out this form in its entirety. It will stay open until August 19th, 2025 or until we run out of spots. For more information, please visit our website: everystudenttutoringprogram.org or email everystudenttutoringprogram@gmail.com
STUDENT Information

Start by telling us about your student.
Student Full Name*

First NameLast Name
School*
Birth Date*

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Grade Level (for the upcoming 25-26 school year)*

Kindergarten1st2nd3rd4th5th6thOther
Subject*

MathESL (English as a Second Language)
Any physical, mental or other condition that would require special attention or medication? Any learning differences that we should be aware of?
Any allergies?
Please share any information that will help your tutor plan the sessions to fit your child's needs. What do they need help with? What are their strengths and weaknesses? What do you hope for them to get out of tutoring?
Did your student participate in our program last school year? If so, who was their tutor?
Logistics: Please visit this spreadsheet.

In the box below, please do ONE of the following:

1) List 2-5 tutor/location/times that work for your child. (the more the better!)

e.g. 1) Adrian Lang - Cupertino Library - Sundays 3-4pm, 2) Evan Park - Online Mondays 5-6pm

2) If none of the times/locations work for you, please provide times/locations that do work for your child. You will be added to a waitlist.

3) If you have a special case (e.g. strong preference for a particular tutor, need for coordination between siblings, etc) please use this box to explain that.

PLEASE PROVIDE US WITH AS MUCH INFORMATION AS POSSIBLE. The more information you provide about your student's availability, the smoother your pairing process will be.
Enter your logistical information here*
PARENT Information

Tell us about you.
Parent/Legal Guardian 1*

First NameLast Name
Relation to student*
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Parent/Legal Guardian 2

First NameLast Name
Relation to student
Phone Number
Please enter a valid phone number.
Email
example@example.com
Donation Requests
On average, a tutoring session provided by ESTP costs ~$7 to our organization (supplies, software, etc). To ensure that our program is financially healthy for years to come, we are requesting a donation of $15/month upon registration (this is a reasonable rate compared to other tutoring services in the Bay Area). To start your donations, please visit this link, click the "monthly" tab, and enter the necessary information.

If your family is unable to afford this donation, you have the option to opt out below, no questions asked. However, if your family is able to donate, we would really appreciate the support so we can continue to provide tutoring sessions for those who cannot afford expensive fees. You may also choose to donate more or less than $15/month if you'd like. Thank you very much!
Select the option that applies to you*

I have visited the link above and started my donations.I am choosing to opt out of these donations.Other
Student Release
My signature on this form and my child's participation in Math Enrichment via Every Student Tutoring Program, in consideration of such participation, I hereby waive, release, and discharge any and all claims against Every Student Tutoring Program, Hack Club (fiscal sponsor), and its members for accidental injury, property damage, illness, or death occurring during or by reason of participating in said tutoring. I shall immediately indemnify, defend, protect, save, and hold harmless Every Student Tutoring Program, Hack Club, and its members, from and against all damages of whatever nature arising out of participation in this tutoring. I shall assume the full costs of any judgment, settlement, and defense of any suits or other legal proceedings instituted against Every Student Tutoring Program, Hack Club, and its members for accidental injury, property damage, illness, or death occurring during or by reason of my child’s participation in this tutoring, including legal expenses and attorney fees of whatever nature arising out of his/her participation in this activity.

I grant permission to Every Student Tutoring Program and its members the irrevocable and unrestricted right to produce photographs and video taken of my child while at tutoring for any lawful purpose including publication, promotion, illustration, advertising, trade, or historical archive in any manner or in any medium by Every Student Tutoring Program. I hereby release Every Student Tutoring Program and its legal representatives from any and all liability for any violation or claims relating to said images or video.

By signing below, I acknowledge and confirm that I am the parent or legal guardian of the above named student, and am over the age of 18. I certify that my child has my permission to attend this program and participate in all activities. I also confirm that I have read, understand, and agree to the terms stated herein above.
Signature

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Fall 2025 Registration

STUDENT Information

PARENT Information

Donation Requests

Student Release