Crane Tutor Permission Form give permission for my child to by alicejenny

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									                        Crane Tutor Permission Form



I give permission for my child, _____________________________, to
                                        (Child’s Name)

be tutored by a Crane tutor in ________________________________.
                                        (Subject or Course)



Parent Signature: ____________________________________________

Daytime Phone: _______________ Email:_______________________

Please indicate your preference for tutoring days by numbering the
days in order with one being your first choice.

__________        Monday
__________        Tuesday         Number of days desired: _________
__________        Wednesday
__________        Thursday

Please note that students will be scheduled as tutors become
available.

Office Use Only


Name of Tutor ______________________________________________

Contact Information _________________________________________

Subject ____________________________________________________

Day:_____________ Materials needed?__________________________

Materials received:___________________________________________

								
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