PRIME FACTOR REGISTRATION 2017-18
Please fill in the form to attend Prime Factor classes, even if you are just trying a class. With questions, contact us at info@pfmathcircle.org or call (425)765-3421.
Student's Name (First, Last)
Your answer
Grade Level at School
Your answer
Student's School
Your answer
Have you taken the free placement test?
Notice that the test is required for new students, except for Junior 1 and Scratch applicants, to make sure you are registering for the right level.
What Class Are You Registering For? If you plan to attend more than one class, please choose all of them here.
Required
If you are registering for computer science class, which laptop will your child use?
Parent or Guardian name(s)
Your answer
Contact Email
Your answer
Additional Contact Email
Your answer
Parent or Guardian Phone Number(s)
Your answer
Address
Your answer
Emergency Contact: Name and Phone
Your answer
Health Issues/Allergies we should know about
Your answer
How did you hear about us?
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms