Renew Network Registration form
To print a homework form to mail / fax in click
here
.
Student's full name
Parents' full names:
Home Phone:
Work Phone:
Other phone (type):
Student's Birthday
(day/month/year)
Parents' e-mail address:
Student's e-mail address:
Street address*:
Postal Code*:
subjects / areas of concern*:
(eg.: Math11, study skills)
Please list any days and times that you are available to be tutored?
Other important information:
(including any learning disabilities)
Student's grade level
How many hours per week?
How many days / week?
Our rate is $30 / hr. Do you require a bursary?
