EmailMeForm
Homework Help Registration
Please enter your information below to register your child for homework help.
Student's Name
*
First
Last
Grade
*
Please select
Kindergarten
First
Second
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Fourth
Fifth
Sixth
Seventh
Eighth
Ninth
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Eleventh
Twelfth
School
Subject(s) Needing Help:
*
Parent's Name
*
First
Last
Parent's Phone Number
*
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Parent's Email
*
Would you like information on adult small group opportunities?
*
yes
no