St. John Math Prep Registration Form

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Please provide the information requested below.

Name of Student *

Name of Parent(s)/Guardian(s) *

Phone Number *

Grade Level *

3rd/4th Grade

5th/6th Grade

7th/8th Grade

Email Address *

Parents, please read below and check all boxes. *

I understand that St. John Baptist Church is offering math preparation services out of good will and benevolent, Christian service to the community, and that St. John will not be held liable for any student's performance during the school year.

I understand that St. John reserves the right to remove any student from the program at the discretion of the St. John staff, and may modify or cancel this service at any time.

I understand that, due to the potential demand for this program, submission of this form does not guarantee admission to this program. I consent to St. John contacting me using the above information for confirmation of my enrollment status.

I understand that I am required to attend the parent orientation from 10 AM to 11 AM on 9/7/19.

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