Tutoring Registration

* Indicates required field

Reponsible Parent Name *

First

Last

Cell Number *

Other Number *

Email *

Other Parent Name *

First

Last

Student Name *

First

Last

Date of Birth *

Age *

Current Grade Level *

Hours Spent Daily Doing Screen Time (Include gaming/movies, any time in front of computer. Please include so called "educational learning games") *

Hours spend daily reading or having read to them, good literature *

Please take a few moments to describe any learning patterns/styles you have observed in your child that may be helpful to me in helping them achieve their literary potential *

Submit

Registration Fee is 65.00 per student, holds your student's spot in my schedule and covers all materials except phonogram cards which can be purchased from the Riggs Institute.