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* 1. What is your name?

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* 2. What is your student's name?

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* 3. What is your phone number?

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* 4. What is your email address?

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* 5. What grade is your student going into? And what school does your student attend?

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* 6. Which workshop are you signing up for?

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* 7. Are you able to host a workshop? You would need WiFi capabilities and seating for up to 8.

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* 8. Please let me know if you are interested in private tutoring. I fill up quickly for the summer.

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* 9. Are you able to pay the full amount? If not how much can you pay?

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