Registration: One-To-One Tutoring

Course Selected
Hourly Rate
Please complete the registration form below.

Student's First Name (Required)
Student's Last Name (Required)
Student's Nickname
Student's Phone 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 within 24 hours. Failure to cancel with proper notice will result in a charge of $40.

I understand and agree to the Cancellation Agreement.