Student Registration Spring 2020
Eola (FULL)
95th (FULL)
Class Location *
Choose a library location you wish to attend.
Student Name *
Please enter first and last name.
Your answer
Grade *
We do not accept students below kindergarten, and above 3rd grade.
School *
Please enter the name of the school student attends.
Your answer
Attended previously? *
Choose "yes" if the student has attended the program previously. Choose "no" if student is new to the program.
Mother's Name *
Please enter full name of student's mother or guardian 1.
Your answer
Mother's Cell Phone *
Please enter cell number of student's mother or guardian 1
Your answer
Mother's Email Address *
Please enter email address of student's mother or guardian 1
Your answer
Father's Name
Please enter full name of student's father or guardian 2.
Your answer
Father's Cell Phone
Please enter cell number of student's father or guardian 2
Your answer
Father's Email Address
Please enter email address of student's father or guardian 2
Your answer
Do you commit to attend all classes? *
Program requires commitment to attend all classes except for sickness / emergencies. If you have vacation plans that conflict with the class for more then two classes, please do not register. The program is effective when students have continuous attendance.
Do you agree to the Terms of Service? *
You must agree to the OneInMath Terms of Service to participate. Please review terms at http://www.oneinmath.com/terms-of-service
Required
Do you agree to the photo/video release of your child? *
You must agree the photo/video release to participate. Please see "Photo/Video Release" section of OneInMath Terms of Service at http://www.oneinmath.com/terms-of-service.
Required
Are you 18 years or older and parent/legal guardian of the student being registered? *
You must be both 18 years or older and parent/legal guardian to register.
Required
What mobile phone do you own? *
We are considering developing a mobile app. Your answer will help guide which phone to build it for first.
Comments
Anything else you want to mention.
Your answer
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