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Debbie1030
2024-02-09T04:49:24+00:00
Course Registration
Student Application Form
Parent/Guardian Name :
Student Full Name :
*
Email :
*
Phone Number :
*
Address :
*
Grade Level :
*
Which areas does your child need to focus on?
*
Computation Skills: (abilities to calculate basic addition, subtraction, multiplication and division problems)
Word problems
Reading Comprehension
Decoding: (key skill for learning to read that involves taking apart the sounds in words (segmenting) and blending sounds together).
Word Recognition
Other ________________ (Specify)
Other area that your child need to focus on :
What days work best for tutoring?
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday (morning only)
What times work best for tutoring?
*
Morning
Afternoon
Evening
Do you need one-time tutoring or ongoing tutoring?
*
one-time
on-going
Has your child had tutoring services before?
*
Yes
No
If your child had tutoring before, was it useful? Why or Why not?
*
Does your child have special needs?
*
Yes (Specify)
No
Do you have any questions or concerns?
*
Yes (Specify)
No
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