Mankato's Math & Me: Summer 2022 Registration!

Mankato Math & Me Summer 2026

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 2025-26 (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/
Modality Preference. We will try our best to accommodate you.
Month (Check all months your child will participate in)
Please list any times during the day and evening your child will NOT be available for tutoring due to other activities, events, religious activities, 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?
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, confidence, problem solving, 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 (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.

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

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

Debit or Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

Thank you for completing part one! We will reach out soon!
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Mankato Math & Me Summer 2026

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

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)*

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

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)