Tutoring Registration

FNRAEC will be offering tutoring through the internet. Payments can be made through E-Transfer. Email reception@fnraec.com for more details. Fill out the form below to register.

Name

First Name

Last Name

Permanent Code

Parent's Name

First Name

Last Name

Second Parent's Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Cell Phone Number

(###)

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Home Phone Number

(###)

###

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Work Phone Number

(###)

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Number of Tutoring Hours Requested

Current School Grade Level

Current or Previous School

Referring Teacher

Did a teacher refer you to take tutoring? If so, list here

Emergency Contact Name

First Name

Last Name

Emergency Contact Number

(###)

###

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Emergency Contact Relationship

Friend, family member, etc..