Register here for tutoring on Feb. 18, Mar. 4, and Apr. 1.

Parent's name and phone number:

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* 1. Parent's name and phone number:

Child's name:

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* 2. Child's name:

What grade is this child in?

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* 3. What grade is this child in?

Please mark the subjects in which this child needs assistance:

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* 4. Please mark the subjects in which this child needs assistance:

Child's name:

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* 5. Child's name:

What grade is this child in?

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* 6. What grade is this child in?

Please mark the subjects in which this child needs assistance:

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* 7. Please mark the subjects in which this child needs assistance:

Child's name:

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* 8. Child's name:

What grade is this child in?

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* 9. What grade is this child in?

Please mark the subjects in which this child needs assistance:

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* 10. Please mark the subjects in which this child needs assistance:

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