Full Name (required) Your Email (required) Your Cell Phone(required) Student Name(required) School If you are a current student LAST DAY OF TUTORING May/June 2024 (required) If you are a NEW student Tutoring Needs SCHOOL Attending: How Did you hear about us?: 2024-2025 SCHOOL YEAR TUTORING To hold your spot for 2024-2025 Tutoring A Non-Refundable DEPOSIT of $50 will be invoiced ASAP. Student grade level FALL 2024 (required) What is the start date for Fall tutoring Preferred day(s) and time: Tutoring: 1 Hour Sessions1.5 Hour SessionsOther If Other: How many sessions per week?: PREFERED DAY(S) AND TIME Monday: Tuesday: Wednesday: Thursday: Friday: Saturday: Sunday: Homeschool Program Please contact me regarding UPHH's year-round school program. YES, PleaseNO, Thank you *Note: Required for all students Annual Supply Fee - $100 (added to first invoice) New Students only - How did you hear about us?: If a friend referred you, who was it?:
