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Top Tutoring Register Form

Name of Student (required)

Age (required)

Grade (required)

School (required)

Parent (required)

Name of Parent (required)

Address (required)

Home/Cell Phone (required)

Your Email (required)

Please indicate your preferred method of communication

Please indicate the best time to contact you
Between 9:00-12:00Between 1:00-6:00

Please select the services needed (required)
Private TutoringFrench Second Language course

If selected Private Tutoring please specify (required)

Please indicate any further information about your child that is relevant and helpful for the tutor

I want to sign my child up for the following workshop
Top-Kids Club Fall program

I would like information regarding the Parent Table Talk Conferences