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I'm submitting my RSVP for the Next Social Event/Conference
Yes, continue with questions
No, I need other info.
Yes, 2 or more seats
Yes, 5 or more seats
Yes, 8 - 10 seats
Hate to miss it..keep me informed though for future events
Meet and Greet Conference
Ladies special event
Design Your Life
Whole & Complete Small Group
Please tell us which event you wish to attend? (include date)
I am interested in speaking to someone about your services.
Recreational Activities
DõTerra Essential Oils
Social Events
Talent Show
Educational Enrichment
Speaker
Vending
Volunteering
Donating
Providing support
Provide Entertainment Services
School RFP (Request For Proposal)
Investing
What is your name?
Contact Me
Email
Text on cell phone
telephone
All options are acceptable
How may we reach you to follow up?
What is your email address?
Click (Below) Submit if you are scheduling to attend a conference or special event (continue questions below, if interested in tutoring services).
Would you like private or small group tutoring for your child?
Yes
No
Just looking
IF yes,
My child is on grade level
My child is below grade low in General classes
My child has a IEP or 504 plan
Does your child receive special accommodation at school, i.e., IEP or 504 Plan?
Yes
No
Don't know
What subject (s) would you like tutoring services provided?
Reading
Math
Homework Help
Reading & Math
Reading, Math, & Homework
Reading & Homework
Math & Homework
How old is your child?
4-5 yrs old
6-7 yrs old
8-10 yrs old
11-14 yrs old
Is your child reading on grade level?
Yes
No
I don't know
What days work best for your schedule?
Mon. & Weds. @ 5:00 - 7:00 pm
Mon. & Weds. @ 6:00 - 8:00 pm
Tues. & Thurs. @ 5:00 - 7:00 pm
Tues. Thurs. @ 6:00 - 8:00 pm
Sat.@ 9:00 am - 12:00 pm
Sat.@ 11:00 - 1:00 pm
I am a school - After School Program
What school does your child attend?
What grade is your in?
What causes you to believe your child requires supplemental educational assistance?
When would you like to start?
Is your child failing in school? (Poor Grades - D/E/F)
Yes
No
Some failing grades
Child is not interested in school
Is your child a behavior problem at school?
Yes
No
Constantly in trouble
I really ...
Submit
Thank you for contacting us. We will get back to you as soon as possible
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The MBSS Experience -Living Born Again? Speaker's Series 1
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