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Parent / Guardian 2
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My child qualifies for free tutoring under the No Child Left Behind Act.:	Don't KnowYesNo
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*Gender:	FemaleMaleUnknown
*Tutoring Subject Area Needs
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Disability Help Needs
Attention Deficit DisorderAttention Deficit/Hyperactivity Disorder DyslexiaNon-verbal/Language Impaired Hearing Impaired/Deaf (Sign Language)Autism Mentally HandicappedBi-Polar TourettesBehavioral Problems BlindOther
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