Tutoring Intake Form

Please let us know more about any needs your child may have as well as the names of those who are authorized to pick them up after their tutoring session or evening service. Note: Wi-Fi is not available, please bring printed supplies or homework that does not require an internet connection.
 
 
 
 
 
 
 
Please select all that apply.
 
 
 
 
Food Allergies or Medical Conditions we should know about?
 
 
 
 
Authorized Adults for Child Pick up after Tutoring Session (or Youth Group if they stay for service)
 
 
 
 

Description

Please let us know more about any needs your child may have as well as the names of those who are authorized to pick them up after their tutoring session or evening service. Note: Wi-Fi is not available, please bring printed supplies or homework that does not require an internet connection.