2021-2022 JCKC Math Club Registration Form
Welcome to JCKC Math Club!!

We will be utilizing Georgia Ready mathematics instruction & problem and solution workbook.
These books will be used as their curriculum all year long.

*We have certified teachers who will be covering all Georgia standards for each grade.

The prices below are per session.  Each month consists of 4 classes.  If a month has 3 classes, the tuition will be lower.

*** Registration Fee $50.00 (Non-refundable)**
*Registration Fee WAIVED for Math if you take a Reading/Writing class as well.

2nd - 6th Math -$120.00 (Maximum number of students: 5 per class) for 75 minutes.

*The first class for the 2021-2022 School Year will be June 10th*

***3 or more students required for the class to start***

If you want to stop taking the class, you need to give us a 2 weeks notice beforehand.
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Email *
Student's Last Name *
Student's First Name *
Student's Grade (2021-2022 school year) *
Student's Gender *
Student's Date of Birth *
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Student's Math Level *
Parent's Name *
Parent's Phone Number *
Parent's Home Address *
In case of emergency and the listed parent cannot be reached, an emergency contact's name and relationship to student. *
Emergency Contact's Phone Number *
등록을 원하시면 이름을 적어주십시오. (전자서명) If you wish to register, please type in your name as a form of electronic signature. *
A copy of your responses will be emailed to the address you provided.
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