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AMORE STUDENT

INTAKE FORM

Student Intake Form

Student's DOB
What supports are you looking for?
When are you available for hour-long sessions? Please include all available times.
Do we have permission to use your child's image for social media and marketing purposes?
Yes, full permission.
You may use images of their work and unrecognizable features, but not their face.
No, please do not use work samples or images.
We're so happy to hear from you. How did you find us?
From a friend (feel free to share who!)
Instagram (@amorelearning)
Google search (we're curious what you put in your search engine!)
Other
Where would you like tutoring to be held?

Please take a moment to read our fine print and agree to the following:

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