Tutoring Session Parent Consent Form
Student Information
Student's Name
Grade
School Name
Parent/Guardian Information
Parent/Guardian Name
Relationship to Student
Phone Number
Email Address
Tutoring Session Details
Date & Time
Subject(s)
Location (in-person/online)
Consent
Parent/Guardian Consent Statement
I give my consent for my child to participate in the above tutoring session.
Parent/Guardian Signature
Date