MoCamps Student Registration Form
If you have any questions or comments, please contact me at emilymo999@gmail.com. Math and coding are on Mondays and Thursdays 9:00-10:30 am, kungfu is on Tuesdays and Wednesdays from 9:00-10:00 am.
Parent Name
*
First Name
Last Name
Parent Phone Number
*
Parent WeChat ID
*
Parent Email
*
example@example.com
Student Name
*
First Name
Last Name
Student Grade
*
Students must be above 2nd grade.
Session
*
Please Select
Session 1: July 11th - July 22nd
Session 2: August 1st - August 12th
Permission to use class pictures/videos on our website?
*
Yes
No
Please select a course and pay below:
*
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Math Class Session
Payment for 2 weeks of math class is $20.
$
20.00
Coding Class Session
Payment for 2 weeks of coding classes is $20.
$
20.00
Kungfu Class
Payment for 2 weeks of kungfu class is $10.
$
10.00
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