Booking Form

Booking Form (Learn With Genie)

This form will take approximately 5-10 minutes. Please fill it out with as much detail as you can! Thank you.

Please note that you can request up to 2 sessions per week per subject.

* Indicates required field

Student Name *

First

Last

Parent Name *

First

Last

Parent Email *

Student Email (If applicable) *

Phone Number *

Student Grade *

What state do you currently live in? *

What subject does the student need help with? *

Math Reading Grammar

If you chose "Math" in the previous option, please specify which grade level the student needs help with. (e.g., regular 6th grade math or Pre-Algebra), and specify topics the student needs help with (e.g., adding fractions, converting decimals, or subject-verb agreement). *

Which video apps is the student able to use? *

Google Meet (Math sessions do not occur on Google Meet) Zoom (Math sessions are only held through Zoom)

Specify your preferred time and day for a session, according to the tutor's available schedule. Please take note that the time limit per session is 40 minutes, due to Zoom's allowed time limit. *

I have read and agreed to the terms and conditions. *

Yes

As stated in our terms and conditions, the tutor has the right to cancel sessions if they find that the students behavior is offensive or inappropriate in any way. Please check the terms and conditions page for further details.

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Booking Form (Learn With Genie)

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