Summer Tutor Registration Form

Parent Name

First

Last

Parent Email

Parent Home Address

Child Name

Child Age and School Attended

Child Name

Child Age and School Attended

Child Grade (2026-2027 School Year)

Please provide name, telephone, and relation to child of persons authorized to pick your child up from tutoring.

I do hereby give permission to MVP Reading Buddies or any of its media partners to use my child's picture, portrait, photograph, image, or voice in any advertising, including Men Of Vision and Purpose website, social media, brochures, bulletins and displays.

I Do Give Permission
I Do Not Give Permission

required. Of Parent

MVP Reading Buddies may obtain emergency medical treatment and/or transportation for your child in the event of sudden onset of illness or an accident.

Yes
No

Participation in our Parent Orientation is required. Parent Orientation is Tuesday, June 30th 6pm-6:30pm via Zoom. Are you anle to attend?

Yes
No