Summer Math Camps - Registration Form

Summer Math Camps

REGISTRATION FORM

cost: $630 per session
Student's Name*

FirstLast
Parent's Name*

FirstLast
Select Workshop*

Session #1 - MON/WED June 12-21 (9:00 AM - NOON)Session #2 - TUES/THUR June 13-22 (9:00 AM - NOON)Session #3 - MON/WED Aug 7-16 (9:00 AM - NOON)Session #4 - TUES/THUR Aug 8-17 (9:00 AM - NOON)
E-mail
example@example.com
Phone Number*

Area CodePhone Number
Student's School:*
Student's Grade:*
PAYMENT due with REGISTRATION
prevnext( X )
Math Camp Fee$630.00
Fee includes camp, all materials and snacks.

Total $0.00
Reservation Confirmation

and Workshop Details / Location Address will be sent to

your E-mail within 24 hours
Should be Empty: