Tutoring registration

"*" indicates required fields

Child's first name and last name*

Child's class and date of birth*

First and last name of the parent requesting the service*

First and last name of parent for tax receipt (if different from previous point)

Phone

Email*

Address of parent requesting service*

Child's address (if different from the previous point)

Service start date

Desired schedule (e.g. Wednesday, 6:00 p.m. to 7:00 p.m.) : Available schedules will be sent to you and/or confirmed by email. Please confirm your email :

Rate : The rate applicable to you and based on factors such as location (of your child), number of children (that you wish to enroll in tutoring) and the day chosen (weekday or weekend) will be sent to you by email.*

Yes

Financial commitment : (e.g. I will make a bi-weekly payment, i.e. every two weeks, by Interac e-transfer to [email protected]*

Yes

Contact : J'accepte d'être contacté.e par courriel ou SMS (ex. Oui ou Non) dans le cadre du service de tutorat et je sais que je peux également contacter ZÉR0 FAUTE, à tout moment, par courriel, notamment pour annuler le service sans aucune pénalité ni justification. Vous pouvez répondre par oui ou non.*

Yes

Confidentiality : No member of the ZÉR0 FAUTE team will ask me to provide any personal information other than that contained in this confidential form, which is used only for registration and valid for one child only. If I have multiple children, I will complete multiple forms (e.g., I have read and understood this policy).*

Yes

Nothing to report

Additional information about the child or parent's comments : Please write here any information you would like to provide about your child (allergies, behavioral or learning difficulties, for example) or other (comments).

Signature : Please write your full name and today's date, then confidently click Send to submit the form*

Tutoring registration

Contact information

Informations