Chapel Hill Math Circle: Student Registration
Use this form to register as a participant in the Chapel Hill Math Circle for the Fall 2018 / Spring 2019 academic year. Students who participated during the previous year still need to re-register. The program will run from September 8, 2018 through the end of April 2019. If the program is full when you register, you will be placed on a wait list and notified when space is available.
First Name of Student *
Your answer
Last Name of Student *
Your answer
Birthdate
MM
/
DD
/
YYYY
Gender
Grade in 2018/2019 *
Which circle do you plan to attend?
The Beginners Group is recommended for students in grades 1 - 3, the Elementary Group is recommended for students in grades 4 and 5, and some 3rd graders. The Intermediate Group is recommended for students in grades 6 - 8. The Advanced Group is recommended for students in grades 9 - 12, and for 8th graders who are comfortable using Algebra. Exceptions may be made at the discretion of the director.
Current Math Class *
For example, 3rd grade math, or Pre-Algebra, or Math 1. If registering during the summer, please put down the math class you expect to take next year. This information is especially useful for students who wish to attend a group that is more advanced than their grade level.
Your answer
Name of School
Your answer
Did you participate in the Chapel Hill Math Circle in Fall 2017 and / or Spring 2018? *
First Name of Parent / Guardian #1 *
Your answer
Last Name of Parent / Guardian #1 *
Your answer
Email Address of Parent / Guardian #1 *
Information about the program will be sent to this email address.
Your answer
Relationship to Student
E.g. mother or father
Your answer
First Name of Parent / Guardian #2
Optional
Your answer
Last Name of Parent / Guardian #2
Optional
Your answer
Email Address of Parent / Guardian #2
Optional. If an email address is entered here, information about the program will also be sent to this email address.
Your answer
Relationship to Student
Optional. E.g. mother or father
Your answer
Phone number of a parent / guardian / other responsible adult *
In the unlikely event that we need to reach you during or immediately after the math circle.
Your answer
Email Address of Student
Optional. If an email address is entered here, information about the program will be sent to this address. Information will also be sent to the parent email address(es) entered.
Your answer
Parent Consent: I give permission to use pictures that include my child on the website. *
Please ask a parent or guardian to fill this out.
Comments
Please mention how you found out about the Chapel Hill Math Circle and any other information you'd like the directors to know.
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service