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    Tutor Information

    Uploaded by

    roflowhale
    The document contains information for a student who wants to become a tutor for the club "Pancratics" at Castro Valley High School. It requests the student's personal details, contact information, grade, birthdate, subjects of interest, and emergency contact information. It also includes a statement of consent for the student's parent to sign to allow their child to participate as a tutor in the club.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd

    Tutor Information

    Uploaded by

    roflowhale
    121 views1 page
    The document contains information for a student who wants to become a tutor for the club "Pancratics" at Castro Valley High School. It requests the student's personal details, contact information, grade, birthdate, subjects of interest, and emergency contact information. It also includes a statement of consent for the student's parent to sign to allow their child to participate as a tutor in the club.

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    The document contains information for a student who wants to become a tutor for the club "Pancratics" at Castro Valley High School. It requests the student's personal details, contact information, grade, birthdate, subjects of interest, and emergency contact information. It also includes a statement of consent for the student's parent to sign to allow their child to participate as a tutor in the club.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    121 views1 page

    Tutor Information

    Uploaded by

    roflowhale
    The document contains information for a student who wants to become a tutor for the club "Pancratics" at Castro Valley High School. It requests the student's personal details, contact information, grade, birthdate, subjects of interest, and emergency contact information. It also includes a statement of consent for the student's parent to sign to allow their child to participate as a tutor in the club.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    Pancratics. The Club.

    Tutor Information
    Personal Information

    Full Name:
    Last First M.I.
    Address:
    Street Address Apartment/Unit #

    City State ZIP Code


    Alternate
    Home Phone: ( ) Phone: ( )

    E-mail Address:

    Grade:

    Birth Date: Subject(s):

    Interests

    Emergency Contact Information

    Full Name:
    Last First M.I.
    Address:
    Street Address Apartment/Unit #

    City State ZIP Code

    Primary Phone: ( ) Alternate Phone: ( )

    Relationship:

    Statement of Consent

    I, __________________, allow my child, _____________________, to be a tutor in the


    club “Pancratics” of Castro Valley High School.

    X
    (Parent Signature) (Printed Name) (Date)

    (Student Signature) (Printed Name) (Date)

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