ecae registration
Session
(for math classes only)
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Class *
Required
Student FIRST Name *
If you wish to register more than one student, please complete a registration form for each one. Thank you.
Student LAST Name *
Student Birthdate *
example: 07/19/2001 (we ask because school grade does not always equal similar age ranges)
Preferred Pronoun *
Grade Level *
School Attending
Parent(s) FIRST Name
Parent(s) LAST Name:
Street *
City *
Zip Code *
Student Email:
Parent Email: *
Cell Phone
(In case of emergency during class time.)
Payment
~ Please mail your check payments to the address on the next screen for quicker processing. Thank you!
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Note
Thank you for registering!
Payments are entered into our system when they are received, no notification is sent.
Math Class instructor will email you before the first class with information.
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This form was created inside of Edina Center for Academic Excellence.