Register for Short Duration Math Preparation Programs

Student Information

Student Full Name

School

Grade

Programs Attended

Courses student has completed:

Parent Information

Parent Full Name

Parent Email

Parent Phone Number

Parent 2 Full Name

Parent 2 Email

Parent 2 Phone Number

Address

City

State

Zip Code

3. Emergency Contact Information

Emergency Contact Full Name

Emergency Contact Relationship

Emergency Contact Phone Number

Primary Doctor's Full Name

Primary Doctor's Phone Number

4. Additional Information

Authorized Person for Pickup (note: in addition to parents and emergency contacts)

How did you hear of us?

Class Selection

5. Class Policies

Class Placement: Class placements would be based on the student's current knowledge, commitment and priorities. Student's current math level will be assessed. The assessment data of other students will not be shared with the parents. Registration process includes submission of Registration Form and full payment of invoice.
Class Timing: Please refer to each appropriate courses' logistics for information on class timing
Waiting list: We may have to place your child in the waitlist if we are unable to find spots in the most appropriate class.
Refund: Parents who wish to discontinue from Random Math before the end of the current session would need to provide a written advance notice. The tuition paid would be prorated for each class.
Fee & Registration: Please refer to each appropriate courses' logistics for information on course fee and registration process.
"Taking a Break" Policy: We do not have a break policy. Parents who wish to take a break would need to follow the refund process and discontinue from Random Math. Upon return, the student would need to go through an assessment and registration process followed by joining the waitlist if spots are full at the time.

6. Acknowledgement of Terms

Random Math Camp is a fee-for-service program based on confirmed enrollments and secured deposits. In order to reserve your child(ren)’s spot, full payment must be received for each child and session you are registering for. Student(s) would need to take an assessment before placement can be confirmed.
I HAVE CAREFULLY READ THE RANDOM MATH CLASS POLICIES. MY SIGNATURE BELOW INDICATES COMPLIANCE WITH RANDOM MATH POLICIES. I SIGN IT FREELY AND VOLUNTARILY.
Parent or Guardian - You will be required to review and sign the registration form on the first day of the session.

Parent or Guardian Signature

DateI agree to receiving marketing and promotional materials.An invoice will be sent within 2 weeks once the form has been submitted.

Math Bytes Summer 2023
Registration Form

Contact us at helpdesk@randommath.com for any questions.

Student Information

Parent Information

3. Emergency Contact Information

4. Additional Information

Class Selection

5. Class Policies

6. Acknowledgement of Terms

Math Bytes Summer 2023Registration Form

Contact us at helpdesk@randommath.com for any questions.

Student Information

Parent Information

3. Emergency Contact Information

4. Additional Information

Class Selection

5. Class Policies

6. Acknowledgement of Terms

Math Bytes Summer 2023
Registration Form