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Intake form for HS Students
Help us serve you better
Name
*
Email address
*
What services are you interested in?
Please select at least one option.
Tutoring
Babysitting
Rides
Tech Help
Party Support
What age group do you need assistance with?
Select
K
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
How many hours of assistance do you require?
Select
1-2 hours
3-5 hours
5-10 hours
10+ hours
What days of the week do you prefer for assistance?
Please select at least one option.
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
What times are you available for assistance?
Do you have any specific requirements or preferences?
Which service or services are you interested in?
Please select at least one option.
Tutoring
Babysitting
Tech Help
Lifeguarding
Sports Training & Lessons
Driving
Errands
Dog Walking & Feeding
Hobbies & Activities
Birthday Party Helper
Additional questions or comments
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