After-School Tutoring Program Enrollment Form

After-School Tutoring Program Enrollment Form — Form Fields

This education template includes 10 fields. Enrollment form for parents to register students in an after-school tutoring program. Free to customize and use on ZenBuild.

• Student Full Name (text, required)
• Parent or Guardian Full Name (text, required)
• Parent Email Address (email, required)
• Parent Phone Number (text, required)
• Student Grade Level (dropdown selection, required) — options: 1st Grade, 2nd Grade, 3rd Grade, 4th Grade, 5th Grade, 6th Grade, 7th Grade, 8th Grade, 9th Grade, 10th Grade, 11th Grade, 12th Grade
• Subject(s) Needing Tutoring (dropdown selection, required) — options: Math, Reading/Writing, Science, History/Social Studies, Test Prep, Multiple Subjects
• Preferred Session Frequency (dropdown selection, required) — options: Once a Week, Twice a Week, Three Times a Week, As Needed
• Describe the student's academic challenges or goals (long text, required)
• Student has an IEP or 504 plan (checkboxes, optional)
• Emergency Contact Name and Phone (text, required)