Fall Schedule Request Form

Please review this information before requesting your schedule:

  • All students are required to attend at least two different days each week. The purpose is to provide sufficient repetition in order to reinforce key skills.

  • For K-3 students, twice a week for an hour each day should be adequate.

  • For students who are covering multiple subjects, plan to attend twice a week for two hours each day.

  • All students are welcome to add a 3rd day if they wish.

Student Name

Parent(s) Name(s)

Phone

Select from drop-down menu.

Please provide the date your child will start fall tutoring.

Mon. Schedule
add: 6:00 – 8:00 pm (2-hour block)
Tues. Schedule
add: 6:00 – 8:00 pm (2-hour block)
Weds. Schedule
add: 6:00 – 8:00 pm (2-hour block)
Thurs. Schedule
add: 6:00 – 8:00 pm (2-hour block)
Sat. Schedule
The following slots are available at
Add: 12:00 – 2:00 pm (2-hour block)
Add: 1:00 pm

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