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Consent to Share Information with College Tutors
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Consent to Share Information with College Tutors of Indiana
Dear Parent or Guardian, Butler Lab School #60 has partnered with College Tutors of Indiana to assist with tutoring Butler Lab School # 60 students who are qualified to participate in the Indiana Learns tutoring program. Occasionally it may be advantageous for families to communicate directly with the staff at College Tutors of Indiana on topics related to the Indiana Learns tutoring program, including assistance with scheduling tutoring sessions To make this possible, we need a parent’s or guardian’s authorization below that will authorize Butler Lab School # 60 to share the respective parent’s or guardian’s contact information, which will permit College Tutors of Indiana to contact you regarding the Indiana Learns tutoring program. College Tutors of Indiana is a locally owned business based in Indianapolis, has been tutoring students in Indiana since 2017, and is an approved Indiana Learns Learning Partner. By completing the information in this form, you agree to permit Butler Lab School #60 staff to share the following information with management staff at College Tutors of Indiana (also known as Spark Tutoring Services).
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Child's Name
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First
Last
Grade
*
Parent or Guardian Name
*
First
Last
Parent or Guardian Email
*
Parent or Guardian Phone
*
Parental/Guardian Consent for Child
*
Yes, I provide consent.
No, I do not provide consent.
Initials
*
Date
*
Submit
Consentimiento para compartir información con College Tutors
Consentimiento para compartir información con College Tutors of Indiana.
Estimado padre o Guardianes, Butler Lab School #60 se ha asociado con College Tutors of Indiana para ayudar con la tutoría a los estudiantes de Butler Lab School # 60 que están calificados para participar en el programa de tutoría Indiana Learns. Ocasionalmente, puede ser ventajoso para las familias comunicarse directamente con el personal de College Tutors of Indiana sobre temas relacionados con el programa de tutoría Indiana Learns, incluida la asistencia para programar sesiones de tutoría. Para que esto sea posible, necesitamos la autorización a continuación del padre o tutor que autorizará Butler Lab School # 60 para compartir la información de contacto de los respectivos padres o tutores, lo que permitirá a College Tutors of Indiana comunicarse con usted con respecto al programa de tutoría Indiana Learns. College Tutors of Indiana es una empresa de propiedad local con sede en Indianápolis, ha brindado tutorías a estudiantes en Indiana desde 2017 y es un socio de aprendizaje aprobado de Indiana Learns. Al completar la información en este formulario, usted acepta permitir que el personal de Butler Lab School #60 comparta la siguiente información con el personal administrativo de College Tutors of Indiana (también conocido como Spark Tutoring Services).
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Nombre de la madre o tutor
*
First
Last
El nombre del niño
*
First
Last
Nota de clase
*
Correo electrónico de padres o tutores
*
Teléfono de padres o tutores
*
Consentimiento de los padres/tutores para el niño
*
Sí, doy mi consentimiento.
No, no doy mi consentimiento.
Iniciales de nombres y apellidos.
*
Fecha
*
Submit
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