In-Home Tutoring

 
Parent's Last Name: *
Parent's First Name: *

Home Address:

*

City:

* State: * Zip: *
Email Address: *
Home Phone: *(eg. 5553331212 - no dashes)
Cell Phone: *(eg. 5553331212 - no dashes)
Student's Full Name: *
Age: *
Grade: *
School: *
Subject(s) *
Describe tutoring needs: *
Additional comments regarding student:

Preferred
days and hours:
(check all that apply)
Day of Week 1st Time Preference 2nd Time Preference
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday

Register for tutor service:
Please contact me:

TLC Tutoring Services
Client Understanding and Release:

Understanding between parties:


1. TLC for Kids, Inc. ("TLC") agrees to make its best effort to locate a suitable tutor upon request by the below signed client ("Client").

2. Rates:
TLC agency fees:
Client understands that a $100 non refundable deposit fee will be charged by TLC to secure the "first five" tutor visits .

$55 per 1 hour session:*
. $35 paid directly to tutor at the end of each session
. $20 agency fee Charged to MasterCard or Visa

*5 session minimum
After the 5th session - save $5 per session on agency fees with a package of 10 or more sessions.


Client understands that TLC will charge a $20 per visit agency fee on a Mastercard or Visa for all sessions based on current rates as listed above.

Client agrees to pay Tutor directly for services rendered at least $35 per hour


3. Cancellation Policy
A. Client understands that a non-refundable agency per diem fee ($20) will be charged to Client's credit card upon TLC's confirming Client's reservation for a Tutor.


B. If Client cancels a confirmed session within 24 hours of the scheduled visit, Client will be charged for one hour of the Tutor's time in addition to the agency reservation fee.


4. Client understands that the services provided by all TLC Tutors must be contracted through the TLC office. Client further understands that the use of a TLC Tutor or the referral of a TLC Tutor to a third party, without arranging the visit through TLC, is considered "theft of services" and will result in a charge of $1,500 in liquidated damages.


5. In the event that Client wishes to hire a Tutor on a permanent basis, TLC agrees to negotiate with Client in arriving at an acceptable placement fee. TLC's standard placement fee for a Governess/Educator is 10% of the the Governess/Educator projected gross annual compensation, with a minimum of $1,000 for a part-time (under 40 hours per week) and a minimum of $1,500 for a full-time (40 or more hours per week).

6. Client understands that TLC Tutors are not employees of TLC. Client understands that Client may be responsible for withholding and filing employment taxes for each calendar year in which the Tutor's payments exceed the limits set forth in the Internal Revenue Code. Social Security numbers of caregivers must be obtained directly from Caregivers.

7. Client agrees to indemnify, release and hold harmless TLC, its agents, employees and officers for any and all claims relating to or arising out of the services provided by Tutors.


I have read and understand the terms of the agreement.
*

Credit Card Information:
Card Type: *       MasterCard ®         Visa ®         Discover ®  
Name as it appears on card:*
Card Number:*  
Expiration Date:* Month / *
IP Address logged as: