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Smarties Online Tutoring
Gifted & Special Edu.
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Reg. Form
Registration Form
Please complete the Registration form to enroll your child for tutoring.
Student Name
Date of Birth
Grade
Student Name
Date of Birth
Grade
Address
Online
In Person
Days For Tutoring.(Give 3 Days atleast) Weekdays 4-5:30p.m, 5:30 -7p.m, 7-8:30 p.m Weekedends 10-11:30a.m, 11:30- 1 p.m
Phone
Name of Current School
Email Address
Available Start Date
Have your child attended tutoring before?
Is your child allergis to any foods?
Payment is due on the first day of class each month.
Missed classes are not rescheduled, If a notice is given before 24hrs teacher would do his best to reschedule clsses upon availability.
Name of Parent
Date
Submit
Thanks for submitting!
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