Tutor Appointment Form
Student's Name
First Name
Last Name
Parent's Phone Number
Format: (000) 000-0000.
Parent's Email
example@example.com
Type of Tutoring
Please Select
Online Tutoring
Agreed Address Tutoring
In-home Tutoring
Subject for Tutoring
Please Select
Math
Physics
Chemistry
Literature
Biology
History
Grade
Please Select
1
2
4
5
6
7
8
9
10
11
12
Each student receives two 30-minute tutoring sessions each week. Please choose two appointment times that your child can attend every week. These two times will become your child’s standing weekly tutoring schedule for the remainder of the Summer Learning Program.
I understand that the two appointment times I select will become my child’s recurring weekly tutoring schedule for the summer program.
*
I understand
Appointment
*
Second Appointment
*
Schedule
Should be Empty: