Resource Center Registration | Milpitas Christian School

Contract Agreement

By signing and submitting this form, you are agreeing to the terms of our tutoring program as described below.

1. One-on-one tutoring sessions are 45 minutes in length and are designed to meet the specific instructional and academic needs of the individual student.

2. During Remote Learning, all tutoring sessions will be held after school. Tutoring will be offered both remotely and in-person. Once we are back on campus, tutoring will be held on campus during regularly scheduled school hours. After school sessions are dependent on tutor availability.

3. Tutoring sessions are scheduled by the head of the Resource Center.

4. Thirty (30) day notice, in advance, is required to terminate the contract. The student account will be adjusted based on the actual number of scheduled sessions.

5. Thirty (30) day notice will be given when the student is ready to graduate from the Learning Lab Program with account adjustments applied.

6. Tutoring reports will be issued at the same time as progress reports and report cards. Parent conferences are scheduled upon request.

7. Sessions missed due to illness or school field trips can be rescheduled with notification to the Learning Lab by 7:30 AM the day of the illness or field trip. Failure to notify the head of the Resource Center (kyao@milpitaschristian.org) before 7:30 AM the day of absence will result in an unexcused absence and the session will be billed. Earlier notice is preferred for field trips. Notify the

8. Student accounts will be billed for unexcused absence from a session due to family vacation, medical/dental appointments, detentions, suspensions, or non-MCS related activities or non-emergency conflicts.

*Student First Name

*Student Last Name

*Student Date of Birth

mm-dd-yyyy

*Student is enrolled at MCS

*Student grade level in the fall

*Mothers First Name

*Mother Last Name

*Mothers Cell Phone

*Mothers Home Phone

*Mothers Email

*Mothers Mailing Address

*Fathers Frist Name

*Fathers Last Name

*Fathers Cell Phone

*Fathers Home Phone

Fathers Email

*Fathers Mailing Address

*How would you prefer your child to be tutored?

*How many days a week would you like tutoring?

*When would you like tutoring to occur?

*When is your student NOT available for tutoring?

*List all the after school student activites

*Student Extended Care?

*Billing Preference

*What areas of focus would you like for your student? Check all that apply.

*Is there anything else you would like us to know about your child?

*Does your child have an IEP or 504 PLAN?

*If child does have an IEP or 504 Plan, please provide a copy

List questions, concerns, ideas

*Signature (Full Name)

*Singnature email address