Student Registration Form

Name:
Home Phone #:
Alternative #:
Street Address:
E-Mail:
Grade & Subjects:
Other Notes:
	Please Review our Terms & Conditions You certify that you are at least 18 years old and the legal guardian of the student being registered. A minimum of 24 hours notice is required to cancel a tutorial. Individual tutorials are to be a minimum of 1 hour in length. All tutorials less then one hour will be billed at this minimum. Students agree to be on time, follow instruction, and be prepared for each tutorial.
I Agree	By checking "I Agree" you agree to the above Terms & Conditions.