Join the Bright & Co. Tutoring Waitlist

Parent/Guardian Full Name

First NameLast Name
Parent/Guardian Email
example@example.com
Parent/Guardian Phone Number*
Please enter a valid phone number.
Child's Full Name

First NameLast Name
Child's Current Grade Level*

Kindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade9th Grade10th Grade11th Grade12th GradeOther
What is your child's current school type

Public SchoolCharter SchoolPrivate SchoolHomeschool
Which subject areas are you most interested in support for?

ReadingWritingMathematicsPhonicsTest PrepScience/LabsSocial Studies/History/ Civics StudiesOther
What are your main areas of concern or goals for your child?*
Has your child received tutoring or academic support before?

YesNo
Does your child have any learning considerations we should notate?

IEP504 PlanGifted/ Accelerated LearnerNonePrefer to discuss later
I understand that this form places my child on the Bright & Co. Tutoring Services waitlist and consent to be contacted in the future.*

I understand
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