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Plane and Coordinate Geometry Sign-Up Form
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Email
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Your email
Student's First and Last Name (no aliases or nicknames)
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Your answer
Grade
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Your answer
School Currently Attending
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Your answer
Have you taken Geometry before?
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Yes
No
If you answered Yes to the previous question, please indicate the school or place where a geometry course has been completed
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Your answer
Are you in process of completing or have you completed a class in Algebra 1?
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Yes
No
School or place where the Algebra 1 course is taken or has been completed
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Your answer
Why are you interested in taking Geometry?
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Your answer
The class is scheduled to run between February and end of May. Are you interested in continuing in the summer (if time allows) or next school year?
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No
Maybe
Parent/Guardian Full Name
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Your answer
Parent/Guardian Email Address
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Parent/Guardian Phone Number
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City and State
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A $250 deposit must be paid by Zelle or Paypal by January 30th, 2023. The deposit counts towards first month's tuition. The deposit is non-refundable. Please indicate how you intend to make your deposit payment.
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Zelle to Lucian Sega, 408-598-7107
Paypal to Lucian Sega, 408-598-7107 (please select "send money to a trusted source" in Paypal)
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