TUTORING INTAKE

In order to make the most of our partnership, we gather a variety of information ahead of your child’s first scheduled session. To ensure the greatest results, we pair students with tutors based on personality type, learning style, and parental preferences.

Child's Name

First Name

Last Name

Parent's Name

First Name

Last Name

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Child's Age

Child's Grade Level

Name of School

In what subject(s) is help needed?

How does your child learn best?

Does your child possess learning challenges?

Briefly describe your child's personality and interests?

How did you hear about us?

Child's Birthday

YYYY

Parent's Birthday

YYYY

Payment

All information provided will be kept confidential. Please select the payment method of your choice.

No transaction fee.
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No transaction fee.
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No transaction fee.
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Please note, when processing online payments using ACH there is a transaction fee of 1% included.
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Please note, when processing online payments using a credit card there is a transaction fee of 3% included.
Proceed to Payment >

TUTORING INTAKE

Payment

Zelle

Venmo

Paypal

ACH

Credit Card