Welcome to the Pod | Studypage Tutoring

Join our HW Club for Fall 2021

Your Name

Your Last Name

Your Child's Name

Grade of Student and Name of School

Child's Date of Birth

Email

Phone

Emergency Contact/Alt Contact Name

Emergency Contact/Alt Contact Number

School Website and Login Information

Describe your values, expectations and goals for this pod.

Describe your child's interest, talents, hobbies, strengths, and weaknesses?

Are there any toys, games, activities that your child is not allowed to play with or participate in (i.e superheroes)?

Does your child have any allergies or health concerns that we need to know about?

Anything else you would like to add?

Has your child traveled by plane in the past 14 days?

Is your child experiencing any of the following symptoms in the last few days: Fever, Cough, Respiratory Issues?

Yes, my child can be photographed and included in StudyPage's social media accounts

No, my child can not be photographed and included in StudyPage's social media accounts

Your Signature

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