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Afterschool virtual tutoring student registration form
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The Afterschool Virtual Tutoring program at Menlo Park Library provides homework assistance to students in grades 3-12.
Emergency contact name
Emergency contact phone number
My child’s school teacher may be contacted for information on his/her academic progress
My child may be photographed for afterschool virtual tutoring publicity
Adult commitment: My child and I know the library rules must be followed or they will be asked to not participate in the program for the day. If my child is unable to follow the rules, or violates the Library's Behavior Policy then they will not be permitted to return until the issues are resolved. This may include a meeting with the staff, the parent or guardian, and the student. I understand computer use during tutoring sessions are for educational purposes only, cell phones will be on silent, and no texting allowed. I know that the afterschool tutoring program is not a child care program, and I may be within ear shot of my child.
Student commitment: I will remember to bring my school work with me to the Afterschool Virtual Tutoring program. I know I must follow the library rules and behave calmly, quietly and politely. I understand computer use during tutoring sessions are for educational purposes only, cell phones will be on silent, and no texting allowed. If I do not behave appropriately as outlined In the Library's Behavior Policy* then the tutor or library staff will ask me to leave the program for the day. My parent may be within ear shot of my tutoring session. By typing your name below, you are agreeing to the Library Rules.
Adult and student commitment
Parent/Guardian understands and consents
Student understands and consents
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