Contact Us - R² Academy Tutoring

Parent Information

First Name *

Last Name *

Email Address *

Phone *

Relationship to Student *

Street Address *

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

First Name *

Last Name *

Grade *

Age

Is the student an ESL learner?

Has the student been identified with an IEP?

If yes, please share any key information from the IEP that would help the tutor support your child.

Diagnosed Conditions or Other Notes (that may affect learning)

Subject(s) to Be Covered *

Tutoring Goals (e.g., improve grades, build confidence, exam prep, homework support)

Current / Most Recent Mark

Preferred Number of Sessions per Week *

Preferred Session Length (Hours) *

In-person or Online Tutoring *

Location for In-Person Sessions (if applicable — library, home, other)

Preferred Days/Times

Expected Start Date