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* 1. How many children do you have who are interested in receiving tutoring?

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* 2. Which subjects are your children interested in? Select all that apply.

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* 3. What is the age group of your child or children?

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* 4. Which days of the week are you available for your child's tutoring sessions? Select all that apply.

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* 5. Would you prefer

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* 6. If you selected a week day what 1 or 2 hour slot would work best for you? e.g. 5:30-7:30pm on Monday

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* 7. If you selected a weekend what 1 or 2 hour slot would work best for you? e.g. 11-1pm on Saturday

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* 8. Please provide your phone number or email so we can contact you with more information

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