Sowing Seeds with Faith Tutoring Registration Form

Name of Scholar: *
Name of Scholar:
Academics
Please indicate which area(s) where help is needed [Check all subjects that apply]: *
Special Services
Which special services are being received at school? *
Tutoring | (Choose two weekdays; One time slot per day):
4PM–5PM
5PM–6PM
6PM–7PM
7PM–8PM
These spots are allocated to you until you contact us with a change. The changes MUST be submitted by the Sunday of the week of tutoring. We schedule our staff based on your time preference. It is extremely difficult to adjust the day of your session, so please pick a time that doesn’t place you in any time constraints or predicaments. Sessions are exactly one hour so, please arrive 10 minutes prior to session starting. Please Initial that you have read, understand, and accept terms of this program. *
I understand that I will be part of the goal setting process for my student, and I will allow my student’s school to release relevant educational information regarding my student to the appropriate parties for educational research. I also understand that Mr. Fleming will be making frequent visits to my scholars’ educational institution to check on grades, behavior, and attendance. *