Additional Info:

 GRADE POWER TUTORING REGISTRATION

To register, please take the time to fill out the information below.

YOUTH INFORMATION
PRIMARY CAREGIVER INFORMATION
Primary Care Giver Relationship (check):
Education:
Marital Status:
Employment Status
Secondary Caregiver (In case of emergency)
Secondary Care Giver Relationship (check):

PERMISSION TO PARTICIPATE IN GRADE POWER TUTORING PROGRAM

Permission of participation for Thea Bowman Center and GradePower Learning Program to provide tutoring
services after school and during the summer. TBC will register all participants and GradePower. GradePower will
schedule 1hr.time slots and monitor all tutoring activities working directly with participants, parents & teachers. By giving your name below you are agreeing to participate in the program

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