Registration: One-To-One Tutoring

Course Selected
Please complete the registration form below

Student's First Name (Required)

Student's Last Name (Required)

Student's Nickname

Student's Cellphone Number (Required)

Street Address




Student's E-Mail (Required)

Student's School

Student's Grade (Required)  

Graduation Year (Required)

Parent E-Mail (Required)

Parent Title

Parent Full Name

Parent Cellphone (Required)  

Which day(s) and time(s) of the week do you prefer for tutoring? Note: tutoring is not available prior to 3:00pm from Sunday to Friday, and is only available in the AM on Saturdays.

Additional Comments
Cancellation Agreement:
A scheduled appointment must be cancelled with at least 24 hours notice. Failure to cancel with proper notice will result in a charge of $90.

I understand and agree to the Cancellation Agreement.