Math Pentathlon 2019-2020 Registration

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please fill out a separate form for each child

Math Pentathlon meets on Tuesdays after school, beginning October 8th. Meetings are from 3:00 -4:00pm for grades K-1, 3:00-4:15pm for grades 2-5.

The fee is $50 per child or $80 per family. Please make your check payable to our treasurer Crystal Brothwell-Hernandez and leave it in the Math Pentathlon envelope in the office.

You will receive an email about your volunteer dates shortly. Please respond as soon as possible so that your registration can be processed by October 1. There are limited spots in Math Pentathlon and your registration is not complete until we have payment and volunteer dates.

Child's Last Name *

Child's First Name *

Grade *

Teacher *

Child's Birth Date *

YYYY

Parent's Name *

Parent's Email *

Parent's Phone Number *

Parent's Secondary Phone Number

Second Parent or Alternate Adult

Second Parent/Adult Email

Second Parent/Adult Phone Number

Child's Food Allergies (please list or enter "none" if none) *

Returning Pentathlete *

Yes

Required

Siblings in Club *

Yes

Required

If "yes" please list name(s) and grade(s) of siblings

After school, my child will *

Be Picked Up

Walk/Bike Home

Third Base/After School care

I understand that Math Pentathlon is a parent run club and I will volunteer at least 4 times in the fall and 6 in the spring. *

Yes

Required

I understand that Math Pentathlon fees are $50 for one child and $80 per family. They are non-refundable. I will leave my fee in the office in the Math Pentathlon envelope by Tuesday October 1st. *

Yes

I would like to request a scholarship

Required

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms