Mankato Math & Me School Year 2024-25
Welcome! Thank you so much for selecting Mankato Math and Me! Please reference this document for more information about our services and procedures at https://mankatomathandme.com. Please complete this form to the fullest extent in order to make sure your child receives highest quality and most personalized tutoring possible! If you are registering more than one child, please fill out two separate forms! Contact info@mankatomathandme.com with any questions or help completing the form or visit mankatomathandme.com.
Looking for our new Homework Help Punch Card registration? Use this link instead: https://www.jotform.com/build/240614859646163
About your child
Child First Name
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Child Last Name
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Child Pronouns/Gender
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Child Birth Day
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Month
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Day
Year
Date
School
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Child's Grade Level in the 2023-24 School Year
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Math & Me LOVES to bring little goodies for the little ones! Please list ANY allergies or foods we should avoid or be aware of. Please also describe any physical and/or mental conditions that you would like Mankato Math and Me to be aware of during tutoring. Type N/A if none.
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Parent/Guardian Information
Parent/Guardian First and Last Name
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Parent/Guardian Email
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Parent/Guardian Mobile Phone Number
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Parent/Guardian Work Phone (if applicable)
Emergency Contact First and Last Name
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Emergency Contact Email
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Emergency Contact Primary Phone Number
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Location
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Greater Mankato Area or surrounding
Northfield/Fairbault
Tutoring Programs (Select One) Please refer to this webpage for package details: https://mankatomathandme.com/schoolprograms/
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Individual Tutoring
Homework Help Hours (Individual)
I would like an option to meet individually more than once a week
Modality Preference. We will try our best to accommodate you.
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In person (Northfield only)
Virtual
I don't have a preference
About your child's math skills
Math Standards Level
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Below Standards
Partially meets standards
Meets Standards
Exceeds Standards
What has been the relationship between math and your child? Do they like math? Not enjoy math? Below, meets, or exceeds standards?
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What are three math skills that you would like Math & Me to work on with your child? (Ex. Order of operations, long division, etc.) Please be as specific as possible
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How did you hear about Math and Me?
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Anything else to share? Other skills that can be addressed if time? Learning preferences or styles?
Please list any schedule conflicts that will NOT work for tutoring. Ex. Sports practice, music lessons, other afterschool or evening activities
Although optional, we highly recommend you email (info@mankatomathandme.com) OR upload photos or PDFs of some of your child's work in order for us to gage the level of where your child is currently at. This is extremely beneficial for us to plan sessions for the most effective learning.
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By checking the box below, I have read and agree to Mankato Math and Me LLC's Terms of Service, which can be found here: https://docs.google.com/document/d/1iT1MNACWYdoptcEKTh62ROaBm0xIiv021rlRGG4PS5U/edit
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I have read and agree to Mankato Math and Me LLC's Terms of Service
To complete registration, we require a $150 non-refundable deposit to guarantee your child a slot for tutoring. This deposit will be subtracted from your total tuition. (must click box in order to process)
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Registration Deposit
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150.00
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Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Thank you! We look forward to meeting you and your child!
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