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Soar and Shine Tutors Client Intake Form
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10
Questions
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1
Your Name
*
This field is required.
First Name
Last Name
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2
Email
*
This field is required.
example@example.com
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3
Phone Number
*
This field is required.
Please enter a valid phone number.
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4
How many students need tutoring services?
*
This field is required.
1
2
3
4 or more
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5
Student's Name
*
This field is required.
First Name
Last Name
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6
Second Student's Name
First Name
Last Name
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7
Third Student's Name
First Name
Last Name
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8
Discovery Call Appointment
*
This field is required.
A discovery call is where we will meet so we can get to you know more about you, your child and your child's educational needs.
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9
Do you have a coupon code?
*
This field is required.
YES
NO
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10
Enter coupon code here
No payment is due at this time. Entering the coupon code simply lets us know you are eligible for the discount after your discovery call.
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11
What is your preferred method of communication for this meeting?
*
This field is required.
Zoom/Video Call
Phone/Voice Call
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12
Do you have any specific questions and/or concerns you'd like to address during our call?
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