Class Registration
Thank you for your interest in this programme!
When this completed form has been received by us you will receive an email shortly afterwards to explain payment.
The cost when signing up for one course (5 classes) is €100, for two courses (10 classes) is €180.
Each course includes 5 classes, one class per week. Each class lasts for 55 minutes.
For any applicable discounts please visit the website.
www.becreativedomath.com
The data collected here will be stored securely and will not be shared with any other party. The data will be deleted when the course has been completed.
Please fill out a separate form per child.
* Required
Email address
*
Your email
Class Selection
*
Choose the classes you would like to register your child for.
Experimental Science - Petite Pi's (Start February 18th at Lyma)
Artistic Science - Arty Alphas (Start April 15th at Lyma)
Required
Your child's name
*
Your answer
Your child's age
*
Choose
4
5
6
Your name
*
Your answer
Phone number
*
Your answer
How did you hear about this class?
Be Creative, Do Math's newsletter
VFN Newsletter
Through a friend
Commonroom Newsletter
Other:
Any Questions or Comments?
Your answer
By ticking the "I agree" box I am agreeing that my email address will be added to the Be Creative, Do Math mailing list for the purpose of receiving information about Be Creative, Do Math. Your email address will never be provided to a third party without your prior and explicit consent.
I agree
Please only send me information by email that directly relates to the coures I am signing up for
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of Edel Horan.
Report Abuse
Forms
