Microsoft Word - MATH TUTORING 2011 12 by Nck7ze1

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									                                           Patrick County High School
                                     MATH After-School Tutoring Sign-Up Sheet



Date:______________________________


Student’s Name:_________________________________________________________

Subject in which to be tutored (please circle): MATH 8   & ALGEBRA I                GEOMETRY &            ALGEBRA II


Classroom Teacher of subject in which to be tutored:_________________________

Time of Tutoring: Tuesday 3:30 – 5:00 (if activity bus is needed, please inform the teacher prior to staying)

MATH 8 & ALGEBRA I
Room/Teacher: Sept. 13 – Oct. 11 – Algebra Teachers
              Oct. 18 – End of 1st Semester – Sheila Brown (with Shannon Harrell)


GEOMETRY & ALGEBRA II
Room/Teacher: Sept. 13 – Oct. 11 - Hope Perry – Room 132
              Oct. 18 – End of 1st Semester – Shannon Harrell Room – 184


Transportation:          Ride Activity Bus
                         Parent / guardian will pick up at __________ p.m.
                         Student will drive home at ______________ p.m




 Parent / Guardian’s Signature:________________________________                 Phone #____________________
                         (Signature Mandatory)                                  (which you can be reached during
                                                                                tutoring)




Please return this form to the classroom teacher of the subject for which you need help. This allows your child to
participate in the tutoring program at PCHS.

It is the responsibility of the student to return this completed form to the tutoring instructor on Monday prior to tutoring.
This completed form will allow the student to participate in the Math tutoring program on the date specified above.

								
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