Tutoring Agreement

Primary Parent's Full Name*

Primary Parent's Email Address*

Primary Parent's Phone Number*

Additional Parent's Name

Additional Parent's Email Address

Additional Parent's Phone Number

Child's Name*

Child's Age*

Child's grade*

What are your child's favorites: such as subjects, activities, songs, books, shows, movies, or interest in general?*

Please briefly describe your child's interest in learning and any specific goals you have for the tutoring sessions.*

Are there any strategies that have worked well for your child in the past?

Is there any important information about your child's learning style, preferences, or challenges that you would like the tutor to be aware of?*

Do your child have any allergies?*

Yes

If yes, please list:

Please provide any additional health information, special needs, or anything else you would like your tutor to know:

What date would you like to start?*

This is a checkbox.

What is the frequency of classes (e.g., once a week, twice a week, three times a week)*

Please select the days your child is available

Sunday

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Emergency Contact Name*

Emergency Contact Phone Number*

Parent/Guardian Consent: I, agree to the terms & conditions outlined in this agreement. I understand the payment terms & policies and agree to adhere to them. I understand that consistent attendance & participation are crucial for my child's progress.*

Signature field is empty.

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