Math Crazy Registration Form
Email address *
Student Name *
Your answer
School and Grade Level *
Your answer
Parent/Guardian Name *
Your answer
Phone Number *
Your answer
Text? *
How did you hear about Math Crazy?
Your answer
Preferred Payment Method *
Before submitting this form, we would like to inform you of our cancellation policy. If you are going to cancel or reschedule, you must notify us at least 4 hours prior to your lesson, or you will be charged for the missed lesson with no makeup lesson and no credit applies to your account. *
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