Registration: One-To-One Tutoring

Course Selected
Rate
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

City

State

ZIP

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 within 24 hours. Failure to cancel with proper notice will result in a charge of $50.

I understand and agree to the Cancellation Agreement.