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Have you taken your Random Math assessment yet?
If not, please click
here
to fill out the
Assessment Form
instead.
Random Math Competitive Math Classes
2022-2023
Registration Form
Contact us at
learning@randommath.com
for any questions.
1. Student Information
Student Full Name
School
Birthday
Grade
Does the student require any special accommodations to participate in the program?
Select one...
Yes
No
Does your child have any allergies/intolerance to food, medication, or any other substances?
Select one...
Yes
No
2. Parent Information
Mother's Full Name
Mother's Email
Mother's Phone Number
Father's Full Name
Father's Email
Father's Phone Number
Address
City
State
Zip Code
3. Emergency Contact Information
Emergency Contact Full Name
Emergency Contact Relationship
Emergency Contact Phone Number
Primary Doctor's Full Name
Primary Doctor's Phone Number
4. Additional Information
Authorized Person for Pickup (note: in addition to parents and emergency contacts)
How did you hear of us?
Select one...
Web Search
Friends and Family
Other
5. Class Selection
Please select the program:
Classes Only - $1395 for 17 classes
Accelerator Sessions Only - $795 for 17 sessions
Competitive Track - $1960 for 17 classes and 17 accelerator sessions
6. Class Policies
Class Placement:
Class placements would be strictly based on the student's current knowledge, commitment and priorities. Student's current math level will be assessed. The assessment data of other students will not be shared with the parents. Registration process includes submission of Registration Form and full payment of invoice.
Competitive track:
Students in competitive track will meet twice every week - once for a two hour class and once for a two hour practice session.
Class Timing:
We will place your child based on the assessment. Please try to be flexible to allow us to find the most appropriate class for your child.
Waiting list:
We may have to place your child in the waitlist if we are unable to find spots in the most appropriate class. There may be open slots in other classrooms, but we want your child and his/her classmates to have best learning experience. At this point, wait period can be anywhere between 0-60 days.
Fee:
Random Math tuition fee for the 17 classes, both regular and competitive track is provided below. The Early Bird discount ends on May 15th 2022.
Refund:
Parents who wish to discontinue from Random Math before the end of the current session would need to provide a written advance notice. The tuition paid would be prorated at $78 for each class and $40 for each practice session attended and the balance for the remaining classes would be refunded for the student.
"Taking a break" Policy:
We do not have a break policy. Parents who wish to take a break would need to follow the refund process and discontinue from Random Math. Upon return, the student would need to go through an assessment and registration process followed by joining the waitlist if spots are full at the time.
Make up Policy:
Students are expected to attend all classes and inform at least one week in advance of any absence. Random Math would provide one make up class for every eight classes held. There is no refund for missed classes even if the student has not been provided a make up class.
Canceled classes:
If a class is canceled due to any reason and a student is unable to attend the rescheduled class, then prorated amount would be refunded at the end of the session.
Registration:
There is no registration fee for students who were enrolled into Random Math classes in May 2022. There is a non-refundable registration fee of $100 per student for new students.
7. Acknowledgement of Terms
Random Math Camp is a fee-for-service program based on confirmed enrollments and secured deposits. In order to reserve your child(ren)’s spot, full payment must be received for each child and session you are registering for. Student(s) would need to take an assessment before placement can be confirmed.
I HAVE CAREFULLY READ THE RANDOM MATH CLASS POLICIES. MY SIGNATURE BELOW INDICATES COMPLIANCE WITH RANDOM MATH POLICIES. I SIGN IT FREELY AND VOLUNTARILY.
Parent or Guardian - You will be required to review and sign the registration form on the first day of the session.
Parent or Guardian Signature
Date
I agree to receiving marketing and promotional materials.
Thank you! Your submission has been received!
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