2021 - 2022 Math classes registration form
THANK YOU FOR CHOOSING MATHAMELIA CLASSES!

Two steps to register.
1. Fill out for this form for registration.
2. Payment:
    a. PayPal to mathamelia3@gmail.com or
    b. Check - please send an email to mathamelia3@gmail.com.
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Parent's Name *
Email address *
Student's Name *
Student's Email Address
Phone number *
Age of the student as of Sept 2021 *
YEAR LONG COURSES
SELF PACED COURSE
SMALL GROUP CLASSES
Where do your child go to school? *
How would you pay for the class? *
Comments or questions
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