📘 Khanyisani Ikusasa Tutoring – Learner Enrollment Form

Please complete this form to request a personalized tutoring quote. Our team will contact you shortly.

Parent/Guardian Full Name *

Parent/Guardian Email *

Parent/Guardian Contact Number *

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Learner Full Name *

Learner Age *

Current Grade *
—Please choose an option—Grade 8Grade 9Grade 10Grade 11Grade 12

School Name *

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Subjects Requiring Tutoring *
MathematicsMathematical LiteracyPhysical SciencesLife SciencesAccountingBusiness StudiesEconomicsEnglishIsiZuluAfrikaansGeographyHistoryOther (please specify below)

If Other, please specify

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Preferred Tutoring Method *
[radio* tutoring-method "At Home (We come to you)" "At Our Centre" "Online (Zoom/Google Meet)"]

Preferred Days & Times *

Address (for home tutoring)

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How did you hear about us?
—Please choose an option—Google SearchSocial MediaWord of MouthSchoolFlyerOther

Additional Comments or Special Requests

Once you submit this form, our team will send your personalized quote via email or phone.