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* 1. Are you interested in tutoring for your child?

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* 2. Where would you want tutoring to occur? (Check all that apply)

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* 3. What subject(s) does your child struggle with?

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* 4. What grade is your child in? If you have more than one child, please select all that apply.

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* 5. If tutoring does occur, would you need transportation to the site?

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* 6. What day(s) and time(s) work best for you? (Select all that apply)

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