Parent/Guardian's Name *

First Name

Last Name

Phone

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###

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Student's Name *

First Name

Last Name

Have you participated in our tutoring program before? *

New Student

Returning Student

Preferred method of tutoring *

Limited spots available for In-person tutoring. We will do our best to accomodate.

Online

In-Person

Top 3 subjects for the tutor to focus on in the 1 hour tutoring session (please choose a maximum of 3) *

Social Studies

Math

Language Arts (reading, writing, spelling)

Chemistry

French

Physics

Biology

Science