2022 - 2023 Math classes registration form
THANK YOU FOR CHOOSING MATHAMELIA CLASSES!

Two steps to register.
1. Fill out for this form for registration.
2. Payment:
    a. PayPal to mathamelia3@gmail.com or
    b. Check - please send an email to mathamelia3@gmail.com.
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Parent's Name *
Email address *
Student's Name *
Student's Email Address
Phone number *
Age of the student as of Sept 2022 *
YEAR LONG COURSES
SELF PACED COURSE
SMALL GROUP CLASSES
Where do your child go to school? *
Do you live in USA or oversea? If you live in USA, what State do you live in. If you live overseas, please list your country.
How would you pay for the class? *
Where did you hear about my service? *
Comments or questions
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