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Parent/Guardian First Name (if you are the student, fill with N/A)

Parent/Guardian Last Name (if you are the student, fill with N/A)

Student First Name

Student Last Name

Email

Phone

Please provide which Canadian provincial education system the student is currently following.

Please provide the student's current age and grade.

Please provide a brief description of what the student is struggling with, including subjects.

How often a week would you like tutoring?

Once a week

Twice a week

Three times a week

Not sure

Where did you hear about us?

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I acknowledge that our tutoring services are exclusively provided online.