Quality Tutoring Services

Please be aware this sign up form is for Tutoring Services ONLY! To schedule an exam, please call 714.991.3838! Thank you!

Student Information:

School Attended *

How did you hear about us? *

Tutoring Preference *

List of Subject / Subjects to be Tutored. *

Phone Number *

Email Address *

Home Address *

City, State and Zip Code *

Student's Strenghths and Weaknesses *

Number of Tutoring Hours per Week Desired *

Parent Information:

Note: This section is required for students under 18 years of age.

Select One: *

Dr. Mr. Mrs. Ms.

Name of Parent *

First

Last

Address (If different from Student's address listed above) *

What are you hoping the student will gain through tutoring? *

Are there any concerns we should be aware of? *

Billing Information: We accept different forms of payment, including cash or check (drop off only), credit/ debit (convenience fee), PayPal (convenience fee), Zelle, or Venmo. Please choose your preferred choice of payment below:

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Please read our Tutoring Policy and accept the terms below. By checking the box, you have agreed to the Tutoring Policy Terms and all it entails. For further questions or clarifications, please give us a call at 714.991.3838.

I accept the terms & conditions in the Tutoring Policy: *

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Tutoring Sign-Up Form