Summer Registration FormIf new to Morris Tutoring, how did you hear about us?Year*202020212022Requested Start Date* Date Format: MM slash DD slash YYYY Student's Name* First Last Date of Birth* MM DD YYYYGrade in Fall*Current School*School in Fall:*Subject(s) for TutoringSubject #1Subject #2Subject #3Has the school prescribed a course of summer study?NoYesBriefly describe the prescribed course of summer study.Parent/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:*Please enter a number from 1 to 100.Number of hours per session:*11.52Preferred Week(s):*School Year tutoring will begin August 5th. If your school starts later, continued summer tutoring may be available. May 28 - 30 June 3 - 6 June 10 - 13 June 17 - 20 June 24 - 27 July 1 - 3 (closed July 4th) July 8 - 11 July 15 - 18 July 22 - 25 July 29 - Aug 1Preferred Day(s): Monday Tuesday Wednesday ThursdayPreferred Time(s): (clarify below if necessary)* 8:30 a.m. - Noon Noon - 3:00 p.m. 3:00 p.m. - 6:00 p.m. 6:00 p.m. - 8:30 p.m.Additional Comments (optional):* I have verified and confirm all the information above is accurate.CAPTCHAPhoneThis 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.