T-cubed Math Registration

T-cubed Math Registration 2023-24

Student Name *

First

Last

Student's age as of August 2023 *

Student email address

Parent Name (primary) *

First

Last

Phone (primary) *

E-mail (primary) *

This is the email which the teacher will use to contact the parent.

Parent Name (secondary)

First (optional)

Last

Phone (secondary)

Optional

E-mail (secondary)

Optional

Math course *

Pre-calculus

Day and Time *

10:30-12:00 Friday - on-line

11:00 -12:30 Thursday - in-person

Pick a time for Pre-calculus.

Any severe allergies of which the teacher needs to be aware

Comments

Anything else the teacher needs to know?

If you are human, leave this field blank.

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