Summer Camp Registration

1. Student Information

Student Full Name

School

Birthday

Grade

2. Parent Information

Mother's Full Name

Mother's Email

Mother's Phone Number

Father's Full Name

Father's Email

Father's Phone Number

Address

City

State

Zip Code

3. Camp Selection

SUMMER CAMP: LEVELS A and BLevels are assigned by coaches based on student's assessment and can be changed based on their performance during the camp.
Elementary Problem Solving - Prealgebra - June 10 to June 28 Morning Session (9:00 am-12:15 pm) - $1950

Elementary Problem Solving - Geometry - July 08 to July 26

Morning Session (9:00 am-12:15 pm) - $1950

Elementary Problem Solving - Counting and Probability - July 29 to August 09 Morning Session (9:00 am-12:15 pm) - $1300

4. Additional Information

How did you hear of us?

5. Acknowledgement of Terms

Random Math Camp is a fee-for-service program based on confirmed enrollments and secured deposits. In order to reserve your child(ren)’s spot, full payment must be received for each child and session you are registering for. Student(s) would need to take an assessment before placement can be confirmed.
I HAVE CAREFULLY READ THE RANDOM MATH CLASS POLICIES. MY SIGNATURE BELOW INDICATES COMPLIANCE WITH RANDOM MATH POLICIES. I SIGN IT FREELY AND VOLUNTARILY.
Parent or Guardian - Your signature below indicates compliance with Random Math summer camp regulations.

Parent or Guardian Signature

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Random Math Summer Camp - 2024

Registration Form

1. Student Information

2. Parent Information

3. Camp Selection

4. Additional Information

5. Acknowledgement of Terms