Student Tutoring Registration

Student Tutoring Registration
At Big Dreams! Academy we offer 2 hour tutoring sessions 1 or 2 days a week for a calendar & math time or reading & writing class. The sessions are held during class time alongside other full time students.
Student Name*

First NameLast Name
Birthday

MonthDayYear
Date
Gender
Grade Entering this fall
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian

First NameLast Name
Cell Number
Please enter a valid phone number.
E-mail
example@example.com
Parent/Guardian #2

First NameLast Name
Cell Number
Please enter a valid phone number.
E-mail
example@example.com
Emergency Contact (besides parent)

First NameLast Name
Phone Number
Please enter a valid phone number.
The following people (besides parents & emergency contact) have permission to pick up (also include anyone NOT allowed):
Please list any special needs for your child academically, socially or behaviorally and what has or hasn't worked well in past learning environments:
Please select which days and times you would like a 2 hour tutoring session (if you select "other" we can discuss your preference and see if it will work):
Calendar & Math -Days & times

Monday & Wednesday, 9-11amTuesday & Thursday, 9-11amJust one day a week, 9-11amOther
Reading & Writing- Days & times

Monday & Wednesday, 1-3pmTuesday & Thursday, 1-3pmJust one day a week, 1-3pmOther
At Big Dreams! Academy we keep the tuition cost low in order to prioritize families and make private education available and affordable to as many as possible. (this can be paid for using charter funding)
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