RVTC Tutoring Enrollment Form
We look forward to partnering with you in support of your child. Please complete this brief form to help us in finding the best fit for your family.
Parent or Guardian Information
How did you hear about us? If it was a specific person, please inclue their name so we can thank them!
Date of Birth (type in this format 01/01/2001)
Test Taking Skills
Session Preference: Subject to Availability
1 on 1
Small Group (if available)
Either is fine!
# of Weekly Sessions You'd Like
Schedule Preference (List ALL Days & Time Ranges you are available).
Is your child on an IEP (Individualized Education Plan, Special Education, etc)?
I'm not sure
ER Contact (if parent cannot be reached)
Any food allergies or restrictions?
Can we offer a snack?