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THE FOLLOWING RATES APPLY:
2 hours session @ KES 2,500 and 1 hour session @ KES 1,500
Student Name
Student Age
Student Gender
Male
Female
Curriculum
8.4.4
CBC
IB
IGCSE
BNC
Level of Student (class / grade or form)
Student Needs
Number of Sessions Required per Week
Preferred Days for Sessions (select all that apply)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Preferred Times for Sessions (select all that apply)
8:00 am - 9:00 am
9:00 am - 10:00 am
10:00 am - 11:00 am
11:00 am - 12:00 pm (noon)
12:00 pm - 1:00 pm
1:00 pm - 2:00 pm
2:00 pm - 3:00 pm
3:00 pm - 4:00 pm
4:00 pm - 5:00 pm
5:00 pm - 6:00 pm
6:00 pm - 7:00 pm
7:00 pm - 8:00 pm
8:00 pm - 9:00 pm
Name
Email
Phone
Home Location / Address
Alternative Contact Name
Alternative Contact Email
Alternative Contact Phone
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