Today’s Date
04-06-2021
Student’s Name
Taylor Spotts
Birthdate
04-27-2008
Parents’ or Guardians’ Names
Tyndal Michele Jones
Street Address
1655 Hatteras Trail
City
Grayson
State
GA
Zip
30017
Parent/Guardian E-mail
Doctyn66@yahoo.com
Primary Phone #
4042478007
Employer(s)
Signature Women's Healthcare
Work Phone (Mom)
678-380-1200
Parent’s Contact Cell phone
404-247-8007
Work Phone (Dad)
678-467-9427
School student is attending now (if applicable)
Greater Atlanta Christian School
Grade Level
7
In what area(s) of academics are you seeking assistance?
Math
(If school course) Textbook Title
ISBN#
If E-class and/or online textbooks, note here your USERID
PASSCODE
PARENT’S INITIALS
TMJ
(If virtual sessions) SKYPE contact ID & phone #/email
If the student has any learning differences about which we should be aware, please explain
Have you ever used a tutor or learning center before?
yes
If yes, who, when, and in what area of academics?
2019
Please circle days and times when this student can attend sessions:
Wed. Afternoon Evening
How did you hear about Total Learning Concepts or who referred you?
Ms Byrd from GAC
Conference dates and times:
Already enrolled