Proficient Readers

Because reading equals success!

We appreciate your interest in our tutoring services at Proficient Readers! In order to offer you the most effective support, please fill out the enclosed form completely. This will allow us to comprehend your specific requirements and objectives, and enable us to connect you with an appropriate tutor. We will contact you shortly to address your application, pricing details, and the next steps.

Student's First name*

Student's Last name*

Student's Birthday*

Parent's Name*

Phone*

Email*

Address*

Number of tutoring sessions per week?*

2

3

4

5

Session Preference*

School*

Grade*

K

1st

2nd

3rd

4th

5th

6th

7th

8th

High School

Tell us about your child, why you're requesting services, and the goals you wish to achieve. *

Desired service?*

Date and time you'll like to begin tutoring sessions?*

:

Emergency Contact Name*

Emergency Contact Phone*

Signature*

Proficient Readers

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