Registration - Key to Success Tutoring

Key to Success Tutoring – Registration Form

Welcome to the Key to Success Tutoring Program! Please complete this registration form to help our team better understand your child and provide personalized academic support. All information provided will remain strictly confidential.

Section 1: Student’s Personal Information

First and Last Name

Parent Phone Number

Grade / Year of Study

Native Language and Other Languages Spoken

Preferred Tutoring Days

Monday

Tuesday

Wednesday

Thursday

Friday

Interests and Hobbies

Section 2: Student Motivation and Profile

Reasons for Enrollment

Describe your child's personality

Learning difficulties (if any)

Section 4: Academic Background

Is your child currently failing a subject?

Approximate grade (1–10)

Section 6: Parental Consent and Commitment

Parent / Guardian Name

Date

By submitting this form, I certify that the information provided is accurate and I authorize Key to Success Tutoring to provide academic support to my child as agreed upon.