ecae registration
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(for math classes only)
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Class *
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.)
~ Please mail your check payments to the address on the next screen for quicker processing. Thank you!
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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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