Name *

First Name

Last Name

Final Agreement Confirmation *

By checking this box, I confirm that I have read and agree to the Terms and Conditions. I agree to auto-pay via Stripe only, every week, 2 weeks, or 4 weeks according to my selected preference. I understand that a 5% fee can be applied to late payments. I understand that I must give 24 hour notice to reschedule sessions. I have completed the Registration Form and will notify the Tutor of any changes within a reasonable timeframe. I authorize my child to receive tutoring services from Rachel Neikirk. I agree to pay all charges owed under the terms of this agreement and I authorize Rachel Neikirk to withdraw payments for services and any balance owed.

Yes, I agree

Date *

MM

DD

YYYY