Thanks for registering for school year time slots for 2022-23! We return to our school year schedule on Monday, August 22, 2022, and we fill time slots on a first-come, first-served basis.

To register, complete this registration form and we'll send an invoice for a $250 deposit per weekly time slot.

Once the deposit is paid, your spot is held. We'll send confirmations during the first week of August. The deposit is non-refundable and will be put towards your August 2022 invoice.

Please feel free to email us at info@greenivyed.com with any questions, suggestions, or feedback. Here's to a restful summer (we're in the office this summer in case you miss us!).

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* 1. Student(s) Name(s) (Last, First)

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* 2. Parent Name (Last, First)

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* 3. Phone Number

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* 4. Email Address

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* 5. Name of School and Grade Level

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* 6. Desired Number of Time Slots Per Week

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* 7. Desired Days/Times of Week (*please list several options, note: we are in the office M-F)

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* 8. Are you hoping for in-person or virtual instruction?

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* 9. Subjects to be Prioritized/Special Requests/Comments

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