Request One-on-One Tutoring

Need help with technology, or to write and learning braille? You can request tutoring with TheTechPianoPlayerKid by selecting your desired session amount. Payments are only accepted via online or in person via debit/credit card.

Request Tutoring

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- Step 1 of 3

Your Name *

First

Last

Email *

Phone *

Select how long you want the session to be. *

• 30 minutes - $10.00
• 45 Minutes - $15.00
• 1 hour - $20.00
• 1 hour 30 minutes - $30.00
• 1 hour 45 minutes - $40.00
• 2 hours - $60.00

Total Amount

$0.00

Please include any comments such as your prefered times and dates for the session. All sessions are through zoom. *

Continue to Payment Details

Card holder Name *

First

Last

Billing Address *

Address Line 1

Address Line 2

City

--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Card Number, powered by Stripe *

Continue to Consent and Release Agreement

Child's Information

Name *

First

Last

Child's Birthday *

MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920

Parent/Legal Guardian Information

Name *

First

Last

Contact Phone *

Relationship to child *

Contact Email *

Consent and Release Agreement

I, the undersigned, am the parent/legal guardian of the child named above. I give my full consent for my child to communicate, or message with TheTechPianoPlayerKid, and to participate in the tutoring services that are available, if given permission by the parent or guardian. *

• I Agree and Consent

Release Agreement *

• I hereby release, and give my child consent to participate in the activities/events specified above. If for any reason you no longer want your child to participate in the events/activities, please contact TheTechPianoPlayerKid by one of the contact methods listed on the home page of this website.

Parent/Legal Guardian Signature, (type name below in the box) *

Date Signed

MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920

I agree and confirm the information entered in this order form is valid and correct. *

• Third Choice

I Agree to the Privacy Policy and Terms of Service of this website. *

• I Agree

GDPR Agreement *

• I consent to having this website store my submitted information so they can respond to my inquiry.

For the Capcha, Solve this problem *

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Complete Order