After-School Small Group Tutoring Sign up Form
This application will be used to sign up for the Northampton Area Middle School Homework Club. 

After-School Small Group Tutoring will meet on Mondays, Tuesdays, and Thursdays from 2:30pm-3:30pm at the Northampton Area Middle School. Please fill this out with accurate data. Once you have filled out the application, you will receive confirmation from the advisor and be given a start date. 

Thank you for your cooperation in this matter. 

Mr. Rex 
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Student Name  *
Student Grade Level *
Student's Homeroom Teacher *
Student's Email *
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