Tutoring, English & Homework Support (In-Person)
 
STUDENT REGISTRATION FORM
Tutoring, English & Homework Support is a free after-school program for Surrey children in grades 4 to 7. The program is offered on Mondays and Thursdays (in-person at the Central City Library). The upcoming iteration goes from February 23 to June 15, 2023. Sessions are from 4:00 pm to 5:30pm. PLEASE NOTE: Students will be registered in the program on a first-come, first-serve basis. We will accept 25 registrations for each day. If the program is full, students will be placed on a waitlist and contacted if a spot becomes available. The program is for children who are newcomers to Canada or whose parents are newcomers to Canada. DEADLINE TO REGISTER: February 17, 2023
Q1 .     Child's first name
*
Q2 .     Child's last name
*
Q3 .     Child's gender
*
Q4 .     Child's grade
*
Q5 .     Name of child's school
*
Q6 .     What is the child's first language?
Answer :
Q7 .     What is the language spoken at home?
Answer :
Q8 .     I want to register my child for the following Tutoring cohort. (Please note that if all the cohort spots are filled, your child will be added to the waitlist)
*
Q9 .     Home Address (number, street, city, province and postal code)
*
Q10 .     Parent/ guardian first name
*
Q11 .     Parent/ guardian last name
*
Q12 .     Parent/ guardian phone number (cell or home)
*
Q13 .     Parent/ guardian email
*
Q14 .     Emergency contact Name (First and Last Name)
*
Q15 .     Emergency contact phone number (cell or home)
*
Q16 .     Emergency contact relationship to child
*
Q17 .     I understand that my child must be present for all the sessions and bring their homework or another item to work on with the tutors (if child is sick please notify us in advance)
Yes  
No  


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