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Sign-Up Form for Quality Tutoring Services
Note:
This form contains two parts: Student Information and Parent Information. Students 18 years or older may fill out the Student Information section only. For students under 18 years of age, the Parent Information section is required.
Student Information:
*
Indicates required field
Name of Student
*
First
Last
Grade
*
Click Options
Kindergarten- 3rd
4th- 6th
7th- 12th
University/ Adult
School
*
Street Address
*
How did you hear about us?
*
Tutoring Preference
*
Click Options
In- Home
Live Online
Phone Number
*
Email Address
*
Student's Strenghths and Weaknesses
*
Parent Information:
Note:
This section is required for students under 18 years of age.
Select One:
*
Dr.
Mr.
Mrs.
Ms.
Enter title you prefer
Name of Parent
*
First
Last
Address
*
Phone Number
*
City
*
Fax Number
*
Email
*
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:
Forms of Payment
*
Cash/ Check
Credit/ Debit
PayPal
Zelle
Venmo
Discounts Inquiry
: Please click your preferred package below. To find out more information, please visit our
Promotions
page. For further questions or clarifications, please give us a call at 714.991.3836.
Promotion Packages
*
Click Options
Academy Program
Scholar Program
Mastery Program
Specialty Program
Siblings Discounts
Spin to Win
: If you received a coupon code please share it below:
Coupon Code
*
Disclaimer
:
Spin to Win coupon codes cannot be combined with other active promotional deals and programs. Coupon must be surrendered at the time of service. Clients from organizations and contracts are ineligible for coupons and promotional deals offered by Quality Tutoring Services.
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:
*
Yes
No
Submit
Home
Tutoring Center
Tutoring Services
About
Programs
Subjects
Pricing
Discounts
Testimonials
Sign-Up
Contact
Policy
Testing Center
Testing Services
Pricing
Contact
Veterans Affairs
Veterans Services
Programs
Contact
Sign Up
Contact
Careers
Promotions