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Random Math Summer Camp - 2020
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for any questions.
1. Student Information
Student Full Name
Does the student require any special accommodations to participate in the program?
Does your child have any allergies/intolerance to food, medication, or any other substances?
2. Parent Information
Mother's Full Name
Mother's Phone Number
Father's Full Name
Father's Phone Number
3. Camp Selection
Camp Epsilon - Counting & Probability-July 27 to August 07
Camp Epsilon - Full Day (9:00am-4:30pm) - $1200
Camp Epsilon - Morning Session (9:00am-12:15pm) - $800
Camp Epsilon - Afternoon Session (1:30pm-4:30pm) - $800
4. Additional Information
How did you hear of us?
Friends and Family
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
I agree to receiving marketing and promotional materials.
Thank you! Your submission has been received!
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