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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
September 27: Overcoming ShynessOctober 11: GratitudeOctober 25: The Law Of AttractionNovember 8: Demotivation and LethargyNovember 22: Family RelationshipsDecember 6: The Practice of Self-Care

I would like information regarding the Parent Table Talk Conferences