School Year Registration FormIf new to Morris Tutoring, how did you hear about us?School Year*2019 - 202020 - 212021 - 22Requested Start Date* Date Format: MM slash DD slash YYYY Student's Name* First Last Date of Birth* MM DD YYYYGrade*School*Subject(s) for TutoringSubject #1Subject #2Subject #3Parent/Guardian Name* First Last Email* Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone (Home)Phone (Cell)*Student Cell (It can be helpful with older students to be able to text as necessary.)Has your contact information changed? (Returning Students Only)YesNoWe have found that the student's willingness to participate in tutoring and commitment to doing well here is a major indicator of future success with us.*How would you rate your child's enthusiasm about tutoring? [1=resistant, 6=excited]123456Goals for Tutoring*Number of sessions per week:*Number of hours per session:*11.52Preferred Day(s): Monday Tuesday Wednesday Thursday Friday Saturday (if tutor available) Sunday a.m. (if tutor available)Preferred Start Time(s) - Please check all times that would work for you: 2:30 p.m. 3:00 p.m. 3:30 p.m. 4:00 p.m. 4:30 p.m. 5:00 p.m. 5:30 p.m. 6:00 p.m. 6:30 p.m. 7:00 p.m. 7:30 p.m. 8:00 p.m. Saturday a.m. Saturday p.m. Sunday a.m.Additional Comments (optional):* I have verified and confirm all the information above is accurate.CAPTCHAEmailThis field is for validation purposes and should be left unchanged. Save and Continue Later This iframe contains the logic required to handle Ajax powered Gravity Forms.