Parent/Guardian Name -or- Self
E-mail (for Zoom link & receipts)
E-mail (for Zoom link if different from above)
Telephone Number
Client's Name (if a minor)
Client's Birthday
Client Shirt Size
Youth - XS
Youth - S
Youth - M
Youth - L
Youth - XL
Adult- S
Adult- M
Adult- L
Adult- XL
Adult - XXL
Adult - XXXL
Grade level
PreK
K
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
GED
College
Other
School Name
What subject(s) do you need tutoring in? What do you wish to accomplish with tutoring?
Current grade in class, as a percentage, if known?
Desired Tutoring Time
Sunday Morning
Sunday Afternoon
Sunday Evening
Monday Evening
Monday Morning
Monday Afternoon
Tuesday Morning
Tuesday Afternoon
Tuesday Evening
Wednesday Morning
Wednesday Afternoon
Wednesday Evening
Thursday Morning
Thursday Afternoon
Thursday Evening
Friday Morning
Friday Afternoon
Desired Tutoring Time
Sunday Morning
Sunday Afternoon
Sunday Evening
Monday Evening
Monday Morning
Monday Afternoon
Tuesday Morning
Tuesday Afternoon
Tuesday Evening
Wednesday Morning
Wednesday Afternoon
Wednesday Evening
Thursday Morning
Thursday Afternoon
Thursday Evening
Friday Morning
Friday Afternoon
Desired Tutoring Time
Sunday Morning
Sunday Afternoon
Sunday Evening
Monday Evening
Monday Morning
Monday Afternoon
Tuesday Morning
Tuesday Afternoon
Tuesday Evening
Wednesday Morning
Wednesday Afternoon
Wednesday Evening
Thursday Morning
Thursday Afternoon
Thursday Evening
Friday Morning
Friday Afternoon
AGREEMENT
This agreement is made between Greater MPower Tutoring, llc, referred to as the “Provider”, and the student, referred to as the “Student”. If the student is under the age of eighteen, then this agreement is between the Provider and the parent or legal guardian of the student, referred to as the “Parent”. If the student is under the age of eighteen, the Parent agrees to this contract on behalf of the student, and further agrees to enforce the Student’s compliance with the terms of this contract. By making payment to the Provider, the Student and Parent, as applicable, agree to all of the terms of this contract.
PAYMENT
The Student or Parent, as applicable, agrees to make payments before services are rendered, at the payment frequency elected by the Student or Parent, as applicable. Tutoring sessions will not be scheduled until payment is made to the Provider by the Student or Parent, as applicable. If the Student and Parent, as applicable, are dissatisfied with the first hour of the tutoring session, the Provider, at its sole discretion may provide the Student with a replacement one hour session with the same Tutor, at no additional cost. Provider will provide one replacement hour of tutoring only once per six-month period, per individual student. The Student or Parent, as applicable will receive an invoice for services based on their payment option.
NONDISCLOSURE OF CONFIDENTIAL INFORMATION
The Student and Parent, as applicable, will not disclose any confidential information related to the Provider, including but not limited to company service strategies, operations, systems, techniques, marketing plans and tactics, private and commercial contacts, clients, tutors, contracts, financial matters, or expansion plans. Confidential information is defined as any information that is generally unknown to individuals who are not the Provider’s personnel. The Student and Parent, as applicable, also agree not to disclose any confidential information for three years after the termination of this agreement.
DISPUTE RESOLUTION
All matters and any disputes hereunder shall be governed by and construed in accordance with the substantive laws of the State of Georgia, without regard to its conflict of law provisions. The Parties to this agreement hereby consent to the personal and exclusive jurisdiction and venue of the Georgia state courts. In the event of a dispute, the Provider, its Representatives, and the Student and Parent, as applicable, agree to participate in all available alternative dispute resolution mechanisms offered by the courts. The Provider will not be responsible for the legal fees of the Student or Parent, as applicable, even if the Student or Parent, as applicable, prevails in any dispute.
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