Tutoring Request Form

Date Submitted*
Full Name *
First Name
Middle
Last Name
Email Address*
School*
Teacher Name*
Parent Name*
Parent Phone Number*
Parent Email Address*
Address *
Address Line 1
Address Line 2
City
State/Prov.
Postal Code
Church Home*
Tutoring Request *
Special Concerns *
*

BIBLE RESOURCES MAY BE USED DURING TUTORIAL SESSIONS

  • I agree to ensure that my child attends all scheduled tutoring sessions.
  • I understand that tutoring cannot occur if my child does not bring their school materials to the session.
  • If my child is unable to attend the tutoring session, I understand that I am responsible for notifying the tutor at least 1 day in advance.