Register your student!
Parent/Guardian First Name
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Parent/Guardian Last Name
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Parent/Guardian Phone Number
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Parent/Guardian Email
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Address
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Gate code?
Time Zone
Student Last Name
*
Student First Name
*
Student Phone Number
Student Email
Grade
*
Subject(s) – select all that apply:
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ACT/SAT Prep
Algebra 1
Algebra 2
Biology
Calculus
Chemistry
Elementary Math
Elementary Reading/ELA
Geometry
Pre-Algebra
Pre-Calc/Trigonometry
Physics
Other
Are you preparing for a standardized test?
How often do you want tutoring?
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Tutoring Preference
*
How did you learn about Tutor Extraordinaire?
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Referred by:
Briefly describe your goals or pain points.
Availability (Days)
Mon
Tues
Wed
Thu
Fri
Sat
Availability (Times)
8-11am
11am-2pm
2-5pm
5-7pm
7-9pm
Student may book sessions independently, parental approval not required?
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Earliest Possible Start Date
Pick a date
Cancellation Policy:
*
X
Anything else we should know?
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