Inside Acceleration
Tutoring Center
IATC Junior Helper Program!
Inside Acceleration Tutoring Center
Additional documents for registration
• Parent/Guardian identification card
Junior Helper Information
Name
*
First Name
Last Name
Birth Date
*
-
Month
-
Day
Year
Date Picker Icon
Gender
*
Please Select
Male
Female
Email Address
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Grade
*
GPA on last report card
*
Current school name
*
Please list (if any) learning disabilities or N/A
I understand that once my child becomes a Junior Helper they either have to complete 15 days or 30 days to receive their stipend. And 30 days to receive all included Rewards. They will be at the tutoring center from 4:30pm-7:30pm. On a Monday, Tuesday, and/or Wednesday They do not have a daily attendance requirement they just have to complete 15 or 30 days total no matter how long it takes them. I understand they will receive an orange shirt, and picture name badge and must wear black or khaki pants, no leggings or jeans. I understand we as a family will be held to the same standards and policies and procedures as all families at Inside Acceleration Tutoring Center. I understand that the Junior Helpers will sign up for IATC class dojo account for all communication. I also understand that only 2-4 Junior Helpers will be accepted per program cycle. Cycle finishes every 90 calendar days, if there is no room my student will be placed on the wait list and we will be contacted first thing once a spot is available.
*
I Agree and Understand
Current Residence Information
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent/Guardian Phone Number
*
-
Area Code
Phone Number
Back
Next
Emergency Contact 1
Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Emergency Contact 2
Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Physician and Medical Information
Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Preferred Hospital
*
Insurance/Health Coverage (Company)
Please list any of the following: Current medications, Medication allergies, Food allergies, Chronic health concerns.
*
Please inform the office of any other vital information you think they may need to know in the event of an emergency. Thank you.
*
May photos or videos of your child be taken during junior helper program, and be used for social media, flyers, or other promotional materials?
*
Yes, I approve
No, I do not approve
Submit
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