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Top Tutoring Register Form

Name of Student (required)

Age (required)

Grade (required)

School (required)

Parent (required)
MotherFather

Name of Parent (required)

Address (required)

Home/Cell Phone (required)

Your Email (required)

Please indicate your preferred method of communication
PhoneEmail

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)
FrenchEnglishMathOther

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
YesNo