Mankato's Math & Me: Summer 2022 Registration!

Mankato Math & Me Summer 2025

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 comprehensive form 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. Facebook: https://www.facebook.com/mankatomathandme Instagram: https://www.instagram.com/mankatomathandme
Looking for school year program registration? Please use the following registration link instead! https://form.jotform.com/221698027175158
About your child
Child First Name*
Child Last Name*
Child Pronouns/Gender*
Child Birth Day*

MonthDayYear
Date
School*
Child's Grade Level in the 2024-25 (NOT upcoming) School Year*
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.*
Parent/Guardian Information
Parent/Guardian First and Last Name*
Parent/Guardian Email*
Parent/Guardian Mobile Phone Number*
Parent/Guardian Work Phone (if applicable)
Emergency Contact First and Last Name*
Emergency Contact Email*
Emergency Contact Primary Phone Number*
For EVERY new student that you refer and enrolls, you will receive $50 off individual tutoring. ($20 for programs)
Tutoring Programs (Select All) Please refer to this webpage for program details: https://mankatomathandme.com/summer-programs/*

Individual Tutoring
Modality Preference. We will try our best to accommodate you.*

In personVirtualI don't have a preference
Month (Check all months your child will participate in)*

JuneJulyAugust
Please list any times during the day and evening your child will NOT be available for tutoring due to other activities, events, etc.. Please also state preferred times. Type N/A if none.*
About your child's math skills
How would you generally rate your child's math skills?*

Exceeds standardsMeets standardsPartially meets standardsDoes not meet standards
What has been the relationship between math and your child? Do they like math? Not enjoy math? Below, meets, or exceeds standards?*
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*
How did you hear about Math and Me?*
Anything else to share? Other skills that can be addressed if time? Learning preferences or styles?
TUTORING ONLY: Although optional, we highly recommend you email (mankatomathandme@gmail.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.

Cancelof
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/1d7TNQnDE_TZkqPSQBQv9hEEI9bjuvlYMPsao9G6EuQU/edit*

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)*

Mankato Math and Me Summer Deposit

$150.00 Quantity

Total

$0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Thank you for completing part one! We will reach out soon!
Should be Empty:

Mankato Math & Me Summer 2025

About your child

Parent/Guardian Information

For EVERY new student that you refer and enrolls, you will receive $50 off individual tutoring. ($20 for programs)

About your child's math skills

Thank you for completing part one! We will reach out soon!