Class Interest From — The Mathematics Room

Class Interest Form

Thank you for your interest in this class. Interest forms are for grades where a class has not yet been formed. After I have received your form, I will let you know if a class will be put together based on interest. If you have any friends with children interested in the same class, please have them submit as well, as this will greatly increase the possibility of forming a class!

Student Name

First Name

Last Name

Which class are you interested in?

Parent or student email. This is where communication and important documents will be sent, so please put the best email for contact.

Student's Age

Last math level student has completed?

Parent/Guardian Name

First Name

Last Name

Parent/ Guardian Phone Number

(###)

###

####

Can I text this number?

Are you part of a Charter School? If yes, please provide the name of the Charter School below and if you are intending to use charter funds to pay for this class.

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