Tutoring Registration Form

Tutoring Registration Form

New High School Students
Welcome!

This form is for high school students who have not done tutoring with us previously.

Refer to our Tutoring Information Pack for important information on our pricing, billing system, and cancellation policy.

Please fill out this form and we will get back to you to confirm your registration.
Student Details:
Student Full Name*

First NameLast Name
The student is a*

ChildAdult
Student Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Student Phone Number
Student E-mail
example@example.com
If the student has learning disabilities, please describe them here.
Parent Details:
Parent Full Name*

First NameLast Name
Parent Phone Number*
Parent E-mail*
example@example.com