Girls Exploring Math, Fall 2017
This is the registration form for fall GEM classes at Octopus math. To register, please fill out this form completely.

Girls Exploring Math classes are for elementary school girls who are interested in learning more math. We will use the Beast Academy curriculum as our foundation, using hands-on activities, games, and puzzles to solidify math concepts.

Classes which do not meet the minimum enrollment of 5 students will be cancelled. The class size is generally capped at 8 students, though it may go slightly higher if we have a teaching assistant available.

Classes will be held in our classroom space in downtown Berkeley, approximately one block from the BART station. The class will be taught by Kelli Talaska. The necessary Beast Academy books are included in the course fees ($250 for Sunday classes, $300 for the Monday class). Full payment is due on the first day of class (by cash or check to Octopus Math), unless Kelli has confirmed an alternate payment plan by email.

Sunday dates -- September 10 through December 3 (no meeting Sept 17, Veterans' weekend, or Thanksgiving weekend)
Monday dates -- September 11 through November 27 (every week)

You should receive a confirmation email (or waitlist notification) within 2-3 days of submitting this form. Continuing students and those who filled out the timing survey will have priority during the first week of registration.

Student's full name: *
(Siblings may be listed on the same form.)
Your answer
What school does your daughter attend? *
Your answer
Parent/guardian names: *
Your answer
Parent/guardian email addresses: *
Your answer
Parent/guardian phone number: *
Your answer
Emergency contact name & relationship: *
Your answer
Emergency contact phone number: *
Your answer
Choose the class you would like to enroll in. *
Please check multiple boxes for siblings. Extra-enthusiastic students are permitted to enroll in both the Monday class and a Sunday class, if desired. Please enroll your daughter in her actual grade level unless you have confirmed alternate plans with Kelli.
Required
Does your daughter have any food allergies? If yes, please list allergens. (Light snacks are provided, typically along the lines of fruit snacks or goldfish crackers.) *
Your answer
Will you need financial aid to participate in this class? *
Further information will be sent by email for students requesting financial aid.
Is there anything special we should know about your daughter's math background or interests?
Your answer
Please initial here to indicate that you understand full payment is due on the first day of class. Any exceptions must be confirmed in advance with Kelli over email. Payments may be made by cash or check, payable to Octopus Math. *
Your answer
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