TeMeF Academy

Last name of the client / parent / the one in charge of the child:

First name of the client / parent / the one in charge of the child:

Email:

Home phone # :

Cell phone # :

Your city & postal code:

Last name (s) of the child / children in question:

First name(s) of the child / children in question:

Age of the child / children:

Grade of the child / children:

Name of the school (if applicable):

Service(s) requested:

One-o-one in home tutoring - www.temef.ca/one-on-one-in-home-tutoring.php
Online tutoring - AFTER SCHOOL - www.temef.ca/online-tutoring.php
Online tutoring - DURING SCHOOL - www.temef.ca/virtual-assistance-during-school-hours.php
Recreative Activities - www.temef.ca/activites-recreatives.php
Speaking our mother tongue - www.temef.ca/speaking-your-mother-tongue.php
Linguistic Rainbow - www.temef.ca/linguistic-rainbow.php
Babysitting - www.temef.ca/babysitting-eng.php

Message / Special Request / Ojectives / Scope of work (Please provide with the maximum of relevant information):

Your availability to receive the service(s):

For the "Speaking your mother tongue" service, please confirm the objective(s) & the language(s) you want to use:

For the "babysitting" service, please provide details (frequency, dates & time during the week, duration of the babysitting sessions, etc.)

Covid-19: For service, please select one (1) of the following three (3) options:

It is mandatory for us (the client) to receive a fully vaccinated TeMeF staff.
We (the client) wish to receive at least a partially vaccinated TeMeF staff (at least one dose of Covid vaccine received).
It does not matter. TeMeF staff may NOT be vaccinated.

Where did you hear about us?