Mathnasium Columbus Day 2023 Activity Enrollment

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Please fill out this form to reserve a spot in one of our Columbus Day Activities! Enrollment cost is $99 per student. After filling out this form you will be contacted separately to provide your payment information. Please fill out one form for each student.

Parent Name *

Parent Mobile Number *

Parent Email *

Are you a current Mathnasium customer? *

Student Name *

Student Grade (2023-2024 School Year) *

Enrollment Program/Location (please choose one) *

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