Waterside School - Student Details

Please take a few minutes to fill out this secure form – your tutor will appreciate it!

"*" indicates required fields

Student First Name*

Student Last Name*

School*

Graduation Year*

Student Email Address*

Student Phone Number*

Student Mailing Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Parent First Name*

Parent Last Name*

Parent Email*

Parent Phone Number*

What courses are you taking senior year?*

Please list interests/extra-curricular activities (including sports).

Are you a recruitable athlete?*

When are you available to meet with your tutor (select all that apply):*

Mon 11:00-12:30

Mon 12:30-2:00

Tues 11:00-12:30

Tues 12:30-2:00

Wed 11:00-12:30

Wed 12:30-2:00

Thur 12:30-2:00

Have you targeted a particular SAT or ACT test date, or are you still open-minded?

Previous Test Scores*

Do you receive extended time or any other testing accommodations?

Any other information?

Please list any additional information we should know.

Waterside School – Student Details