KTL Tuition - Nationwide One on One Tutoring, Auckland in-person or online

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Home
About Us
OUR SERVICES
OUR TEAM
- TUTORS
- TEACHERS
TESTIMONIALS
BLOG
FREE TUITION CONSULTATION
CONTACT US

Tuition Registration Form

Tuition Registration Form

Free Text

Section 1: Student Details

STUDENT'S FULL NAME

DOB

GENDER

STUDENT'S EMAIL ADDRESS

STUDENT'S MOBILE NUMBER

CURRENT SCHOOL

YEAR/FORM LEVEL

EXAM PATHWAY

TUITION SUBJECTS REQUIRED

IF OTHER THEN PLEASE SPECIFY

PREFERRED METHOD

Centre-based

Online

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Section 2 : Whanau Contact Details

PARENT'S NAME

POSTAL ADDRESS

FAMILY EMAIL ADDRESS

PARENT'S MOBILE NUMBER

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Section 3 : Student Learning Requirements

DOES THE STUDENT HAVE ANY LEARNING PREFERENCES / DIAGNOSIS?

Dyslexia

Dyspraxia

Dyscalculia

Visual Processing Disorder

Auditory Processing Disorder

None

Other

IF BOX TICKED PLEASE ADD EXTRA INFORMATION

ARE THERE ANY OTHER AREAS OF CONCERN?

Attention/Focus

Following Instructions

Language

Organizational difficulties

Handwriting/fine motor difficulties

None

Other

IF BOX TICKED PLEASE ADD EXTRA INFORMATION

HAS THE STUDENT HAD PREVIOUS ASSISTANCE AT SCHOOL?

HAS THE STUDENT HAD PREVIOUS ASSISTANCE AT SCHOOL?

RTLB

RTLiT

Writing group-school

Peer tutoring-school

Gifted and Talented group

Mathematics support

Private Tutoring

Reader/WriterNumber works

Kip McGrath

ESOL

Reading support

Kumon

SPELD

Social skills group

Use of Laptop/Netbook etc

Speech Therapy

Occupational therapy

Physiothearpy

Other

None

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Section 4: Health or Medical Issues

DOES THE STUDENT HAVE ANY HEALTH OR MEDICAL ISSUES?

Eyesight : vision

Hearing APD/Hearing aids

Allergies

Sensory issues

ADHD (In)

ADHD (Hyp)

Co-ordination

Medical

None

Other

IF BOX TICKED PLEASE ADD EXTRA INFORMATION

OTHER INFORMATION YOU WOULD LIKE TO ADD

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Section 5

HOW DID YOU FIND OUT ABOUT KTL TUITION ? *

Friend/Work Colleague

School recommendation

Brochure

Internet Search

Other

IF "FRIEND/WORK COLLEAGUE" BOX TICKED THEN PLEASE PROVIDE THEIR NAME OR EXTRA INFORMATION

IF YOU WOULD LIKE TO RECEIVE KIDZ THERAPY/KTL TUITION NEWS FROM TIME TO TIME

Yes

No

Already subscribed

PLEASE READ THE TERMS AND CONDITIONS CAREFULLY.

I have read and agree to the Terms and Conditions. Please ask for clarification of any points you are unsure of. This document is issued on 06/02/2021 and supersedes any previous terms and conditions issued by KTL Tuition.

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Address: 642 New North Road, Morningside, Auckland, 1022, New Zealand

Phone: +64 09 8494 232 / 0212950089

Email: ktl.tuition@kidztherapy.co.nz

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KTL Tuition Privacy Policy

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Terms and Conditions for KTL Tutoring Sessions

Terms and Conditions for KTL Tuition Workshops

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Address: 642 New North Road, Morningside, Auckland, 1022, New Zealand

Phone: +64 09 8494 232 / 0212950089

Email: ktl.tuition@kidztherapy.co.nz

KTL Tuition Website Terms of Use

KTL Tuition Privacy Policy

KTL Tuition Cookie Policy

Terms and Conditions for KTL Tutoring Sessions

Terms and Conditions for KTL Tuition Workshops

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