(Check one Preference): On-line On-Site
STDENT INFORMATION
Name: Email: Phone
 
Home Address: Grade Level/Age

Tutoring Subject:1 2 3

Select TIME:
3:30-4:30PM
4:30-5:30PM
5:30-6:30PM
6:30-7:30PM
7:30-8-30PM

School Name School Counselor

PATENT/GUARDIAN INFORMATION
Parent/Guardian Home Address
 
Work Phone: Home Phone
Cell Phone: Emergency Phone:
Email: Child current Proficiency
 

Please provide other Comments or information that can assist us to better help you or the child:

Please note that your registration is not complete until you have selected and paid for a package. Please submit your application and then complete payment page.

For more info and credit Card Payments, call (412) 894-8595 (Phone), fax (412)894 8565, or email kescinfo@kanmas.com

Kanmas Educational Support Center
5475 Route 8, Gibsonia PA 15044
http://education.kanmas.com

Register Today and receive FREE Assessment and other discounts
  

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TUTORING PROGRAM ONLINE REGISTRATION