EmailMe Form - Register Now for Small Group In-Home Tutoring

Child #1 Name *

First Last

Child #2 Name *

First Last

Child #3 Name

First Last

Child #4 Name

First Last

Child #5 Name

First Last

School Name (optional):

Grade Level *

French Immersion? *

Yes

No

Individualised Education Plan (IEP)? *

Yes

No

Not in place yet

If yes, are they modified or accommodated?

Modified

Accommodated

Unsure

Parent's Name *

First Last

Email *

Phone *

### - ### - ####

Address *

Street Address City State / Province / Region Postal / Zip Code Country / Region

When Would You Like to Start?: *

Subject(s): *

Do you want Tutoring Solutions to contact any of your child's teachers? *

Yes

No

Do you want to receive: *

E-mails from us?

Text messages from us?

How did you hear about us? *

Other information we should know about you and/or your child?

Would you like monthly receipts? Please note that you can claim up to $500 in tutoring fees on your incomes taxes in Ontario. *

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