Client Registration Form Parent/Guardian Information * First Name Last Name Email * Address * Mobile Phone * Credit Card Number * Exp. Date * CVV * Cancellation and Payment Policy: * Adjacent Tutoring has a 12 hour cancellation policy. It is important to notify your tutor or the company, by email or text, should you need to cancel your upcoming lesson. You are subject to a cancellation fee if one of the following occurs: (1) The 12 hour cancellation window has passed scheduled lesson. (2) No Show: You or your student do not show up for the scheduled lesson. Payment Terms: At Adjacent Tutoring invoices are due on receipt. We issue invoices every other week and reserve the right to automatically charge the credit card on file once an invoice has been issued. I Agree to the Terms/Policies Student Information * First Name Last Name Grade Level * Pre-K Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade 7th Grade 8th Grade 9th Grade 10th Grade 11th Grade 12th Grade College Undergraduate College Graduate School Thank you! We will be contacting you shortly!