KTL Tuition Registration Form | Auckland and Nationwide In-person or online

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Private Tuition Auckland, maths, science, english

One on one private tuition Auckland

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

Tuition Registration Form

Tuition Registration Form

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Section 1: Student Details

Student's First Name

Student's Last Name

Preferred Name (if different)

Date of Birth

Gender

Email address (student)

Mobile Number (student)

Current School

Year or Form Level

Exam Pathway

Tuition Subjects Required (Please list in order of priority - we recommend a focus on 2 most important ones)

Preferred Location for tuition:

In Person Centre-based (Morningside)

Online

Tutor Preference:

No Preference

Prefer Female

Prefer Male

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Section 2 : Whanau/Family Contact Details

Parent's First Name

Paren't Last Name

Postal Address

Family Email Address:

Parent's Mobile Number - for emergency contact

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Section 3 : Student Learning Requirements

Has your child had an Educational Psychology Assessment? If yes, please let us know the provider and year it was done:

Does your child have any learning differences?

Dyslexia

Dyspraxia

Dyscalculia

Visual Processing Disorder

Auditory Processing Disorder

None

Other

Additional Information

Any other areas of concern?

Attention/Focus

Following Instructions

Language

Organizational difficulties

Handwriting/fine motor difficulties

None

Other

Additional Information

Any 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

Please let us know if any health issues we need to be aware of during tuition:

Eyesight : vision

Hearing APD/Hearing aids

Allergies

Sensory issues

ADHD (In)

ADHD (Hyp)

Co-ordination

Medical

None

Other

Additional information about health issues

Is there any other information you would like to add?

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Section 5

How did you hear about us?

Friend/Work Colleague

School recommendation

Brochure

Internet Search

Other

Would you like to subscribe to the Kidz Therapy / KTL tuition Email Newsletter?

Yes

No

Already subscribed

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By clicking on the submit button I confirm I have read and agree to the Terms and Conditions (link in footer below). Please ask for clarification of any points you are unsure of.

Thank you for completing the KTL Tuition registration form.

We will use this information to help match you with one of our amazing tutors and get back to you soon.

Kind regards

KTL Tuition

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One on one private tuition Auckland

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

Phone: +64 09 8494 232

Email: h ello@ktltuition.co.nz

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

Phone: +64 09 849 4232

Email: hello@ktltuition.co.nz

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