If your child does not have a student ID number because they are homeschooled or in a private school that does not have student ID numbers, please enter "N/A".

Please select the days you would like for your student to receive tutoring/homework assistance.

Are you also registering your child for Piano Lab? All piano lab sessions occur on Wednesdays.

If you are picking up your child from the program, approximately what time do you expect to arrive each day?

Note: Tutoring sessions end by approximately 4:15 PM so you are welcome to pick-up your students once their session is complete.

Does your child require transportation to or from the program?

Note: Answering "Yes" does not guarantee transportation will be provided. If you select "Yes", our Program Coordinator will contact you to gather further information.

Please check all that apply.

Does the student have any allergies or medical conditions?

Please enter any allergies or medical conditions we should be aware of.

Does your child take any medication(s)?

Please enter any medications your child takes regularly that we should be aware of.

Does your child have a disability or require special physical or educational accommodations?

Does your child receive free/reduced lunch?

Please enter the number of individuals living in your household.