Childs Name *

First Name

Last Name

Parents Name *

First Name

Last Name

Phone *

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What services are you interested in? (sessions will be virtual or in-person at a local library) *

45 minute sessions are $50 1 hour sessions are $60 *Session amount includes lesson planning, assessment evaluation

45 minutes Math Tutoring (Elementary Level)

45 minutes Reading/Writing (Elementary Level)

1 hour Math Tutoring (Middle School Level)

1 hour Reading/Writing (Middle School Level)

1 hour Reading/Writing (High School Level)

1 hour Group Life Coaching for Kids (Ages 8-11)

1 hour Group Life Coaching for Kids (Ages 12 - 14)

1 hour Group Life Coaching for Teens (Ages 15-17)

Preferred Start Date *

MM

DD

YYYY