JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
AMC 10
* Indicates required question
Email
*
Your email
Student's Email
*
Your answer
Student's Full Legal Name (no aliases or nicknames)
Your answer
Grade
*
Your answer
School Currently Attending
*
Your answer
City and Country
*
Your answer
Previous math contest experience, if any (include any relevant scores)
*
Your answer
Parent/Guardian's Full Name
*
Your answer
Parent/Guardian's Email Address (may be the same as student's email address)
*
Your answer
Parent/Guardian's Phone Number
*
Your answer
The tuition for this class is $2500. Please indicate how you intend to make the payment. Please note that the payment is non refundable.
*
Zelle to Lucian Sega, 408-598-7107
Paypal to Lucian Sega, 408-598-7107 (please select "send money to a trusted source" in Paypal; failure to do so will result in you being billed the paypal fees separately, on top of the tuition)
Comments
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
