Request Your Free Assessment
Provide your details to start your tutoring journey and help us prepare for your free assessment.
Parent/Guardian Information
First Name
*
Last Name
*
Email
*
example@example.com
Mobile Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Does the student currently have a 504 Plan, Individualized Education Program (IEP), or any other documented special needs accommodations?
*
Yes
No
Not Sure
Student Information
Student First Name
*
Student Last Name
*
Grade
*
Please Select
K
1
2
3
4
5
6
7
8
9
10
11
12
Birth Date (used to send birthday messages and occasional birthday offers)
*
-
Month
-
Day
Year
Date
School
*
Has your student previously received any form of tutoring?
Yes
No
What subject(s) does the student need tutoring in?
*
Math
Reading/Writing
Do you have any additional questions or concerns about your student’s academics?
Share anything you’d like us to focus on during the assessment or discuss during your follow-up call.
I give permission for my student to participate in the on-site academic assessment conducted by Study Buddy at Superior Martial Arts Training Center. I understand that I will be contacted within 48 hours to review my student’s results and recommendations.
*
Yes, I give my permission
I grant permission for Study Buddy to capture photos and/or videos of my student during program activities for use in social media, marketing, and promotional materials.
*
Yes, I give my permission
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