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Client Contract / Enrollment Form for Language Courses
Client Name (person responsible for the account)
Number if RSA citizen or Passport Number
Email
Cell Number
Home Languages
Select lesson type:
*
Required
Online
In-person at client's home
Address where lessons will take place, if in-person lessons are selected above
Tutoree (Student) Details
Name
Surname
ID Number if RSA citizen or Passport Number
Nationality
Tutoree's Gender
*
Required
Female
Male
Highest level of education
Please specify which language(s) you can tutor or require tuition in:
Choose the package required:
*
Required
R350 per 60 minutes
R3200 for a 10 lesson package
Tutoring Lessons Information
Day and time that suits you best
How many hours do you require per week?
Preferred Tutor Information
Does the tutoring require special needs experience? If yes, please specify
I accept the Active Kids Tutor & Au Pair Agency Agreement
View Agreement
I accept terms & conditions
Submit
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