Summer 2021 Tutoring Only

Weekly on Mondays (+$20.00/Session)

Eight 30 min. one-on-one sessions with Miss Kim held weekly on Mondays.

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Summer 2021 Registration Fee
(due May 15):

$25.00

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Application Deadline

All applications must be submitted on or before May 1, 2021.

Summer 2021 Tutoring Only registration Form

Fill out this application for each child you intend to enroll.

Student Name (Nombre del Estudiante)

First Name

Last Name

Date of Birth (Fecha de Nacimiento)

YYYY

My child is in... (Mi hijo/a esta en...)

Pre-K (Pre-Kinder)

Elementary (Primaria)

Parent/Guardian Information (Información de Padres/Guardianes)

Parent/Guardian Name (1)

First Name

Last Name

Emergency Phone No.

(###)

###

####

Parent/Gaurdian Name (2)

Optional

First Name

Last Name

Alternate Emergency Phone No.

(###)

###

####

Additional Information (Información Adicional)

List any allergies or medical conditions Miss Kim should be aware of:

This is a required field. If none, respond "N/A" or "None" below.

If your child is on campus, please indicate the person(s) allowed to pick up your child(ren) from school:

I give Miss Kim's Educational Center permission to share pictures of my child on misskims.org, Google Classroom, and/or the school’s private Instagram account.

Yes

Summer 2021 Tutoring Sessions (Clases particulares)

(+) Sign up for eight Summer 2021 Tutoring Sessions (on Mondays)

I understand that I am contractually obligated to make a weekly payment of $20.00 (for a Grand Total of: $160.00) per child for eight Summer 2021 Tutoring sessions.

Yes, sign my child up for Summer 2021 Tutoring.

No, my child will not require Summer 2021 Tutoring.

Miss Kim's Educational Center Contractual Terms

Contractual Terms can be viewed at misskims.org/enrollment. Please read the contractual terms carefully before signing this agreement and submitting your registration form.

I have read, agree, and understand that I am bound to the terms of Miss Kim’s Educational Center:

Parent or Guardian E-Signature (Type Full Name)

I understand and agree that payment is required for each class whether the child attends or not. When possible, virtual make up classes will be offered unless otherwise discussed with Miss Kim.

Parent or Guardian E-Signature (Type Full Name)

I understand and agree to the "Notice of Change" clause: If at any time I wish for my child to decrease the number of days a week they attend, or if I would like to discontinue my child's enrollment, a two week paid notice is required.

Parent or Guardian E-Signature (Type Full Name)

Summer 2021 Tutoring Only

Weekly on Mondays (+$20.00/Session)

Summer 2021 Registration Fee (due May 15):

Application Deadline

Summer 2021 Tutoring Only registration Form

Summer 2021 Registration Fee
(due May 15):