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Summer Schedule Sign Up Form
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Student Name
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First
Last
Student's Current Grade (if summer grade student will enter in Fall)
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Parent/Guardian Name
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First
Last
Relationship
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Parent/Guardian Phone Number
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Parent/Guardian Email (Please provide an email you check regularly)
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Is it ok to text this number?
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Please choose all days and times that will work for you family. You may list your first choice in the additional notes box. If your session is more than 30 minutes, please make enough choices to complete you full time. For example, if your session is an hour choose Monday 4:00-4:30 and Monday 4:30-5:00 to make the entire hour. Requests will be filled on a first come, first serve basis.
Please choose all days and times that will work for you family. You may list your first choice in the additional notes box.
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Mondays 4:00-4:30 p.m.
Mondays 4:30-5:00 p.m.
Mondays 5:00-5:30 p.m.
Mondays 5:30-6:00 p.m. (This session will be with a tutor other than Krista.)
Mondays 6:00-6:30 p.m. (This session will be with a tutor other than Krista.)
Mondays 6:30-7:00 p.m. (This session will be with a tutor other than Krista.)
Tuesdays 4:00-4:30 p.m.
Tuesdays 4:30-5:00 p.m.
Tuesdays 5:00-5:30 p.m.
Tuesdays 5:30-6:00 p.m. (This session will be with a tutor other than Krista.)
Tuesdays 6:00-6:30 p.m. (This session will be with a tutor other than Krista.)
Tuesdays 6:30-7:00 p.m. (This session will be with a tutor other than Krista.)
Wednesdays 4:00-4:30 p.m.
Wednesdays 4:30-5:00 p.m.
Wednesdays 5:00-5:30 p.m.
Wednesdays 5:30-6:00 p.m. (This session will be with a tutor other than Krista.)
Wednesdays 6:00-6:30 p.m. (This session will be with a tutor other than Krista.)
Wednesdays 6:30-7:00 p.m. (This session will be with a tutor other than Krista.)
Thursdays 4:00-4:30 p.m.
Thursdays 4:30-5:00 p.m.
Thursdays 5:00-5:30 p.m.
Thursdays 5:30-6:00 p.m. (This session will be with a tutor other than Krista.)
Thursdays 6:00-6:30 p.m. (This session will be with a tutor other than Krista.)
Thursdays 6:30-7:00 p.m. (This session will be with a tutor other than Krista.)
Fridays 4:00-4:30 p.m.
Fridays 4:30-5:00 p.m.
Fridays 5:00-5:30 p.m.
Fridays 5:30-6:00 p.m. (This session will be with a tutor other than Krista.)
Fridays 6:00-6:30 p.m. (This session will be with a tutor other than Krista.)
Fridays 6:30-7:00 p.m. (This session will be with a tutor other than Krista.)
Saturdays 8:00-8:30 a.m.
Saturdays 8:30-9:00 a.m.
Saturdays 9:00-9:30 a.m.
Saturdays 9:30-10:00 a.m.
Saturdays 10:00-10:30 a.m.
Saturdays 10:30-11:00 a.m.
Saturdays 11:00-11:30 a.m.
Saturdays 11:30 a.m.-12:00 p.m.
Saturdays 12:00-12:30 p.m.
Saturdays 12:30-1:00 p.m.
Saturdays 1:00-1:30 p.m.
Saturdays 1:30-2:00 p.m.
Saturdays 2:00-2:30 p.m.
Saturdays 2:30-3:00 p.m.
Saturdays 3:00-3:30 p.m.
Saturdays 3:30-4:00 p.m.
Please add additional Information Here if necessary.
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By typing my name below, I acknowledge that I am signing my child up for services with Achieve. I agree to be contacted by Achieve to receive necessary information about my child's session(s).
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