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The more detail you provide, the better, as it allows us to quickly pair your student with the right coach.

Parent/Guardian First Name*

Parent/Guardian Last Name*

Parent/Guardian Email *

Parent/Guardian Phone Number*

Student First Name*

Student Last Name*

Student’s Grade*

Student’s Learning Challenges*

Select the service(s) you are interested in:*

Academic Coaching

Subject Tutoring

Executive Function Coaching

Test Prep

College Counseling

Mentally Healthy Student Program

Preferred Lesson Location*

At home

Online

Mix of home/online

At the student’s school

Preferred Schedule (days and times)

Would you like the student to receive an Executive Function Assessment?*

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206-360-6072
hello@hamptontutors.com