W Camp Registration Copy

1. Student Information

Student Full Name

School

Birthday

Grade

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. Camp Selection

AMC 8 CampsAIME Camps

Signups are subject to availability and assessment. Week 1 (December 26-30, 9:00 -12:15 pm) - $500Week 2 (January 02 - 06, 9:00 -12:15 pm) - $500Week 1 and Week 2 - $900Week 1 Self Study (online access to tests and solutions only) - $200Week 2 Self Study (online access to tests and solutions only) - $200Week 1 and Week 2 Self Study (online access to tests and solutions only) - $400

Please note this camp is only beneficial for students scoring 80+ in AMC 10/12. Signups are subject to availability and assessment.Week 1 (December 26-30, 9:00 -12:15 pm) - $900Week 2 (January 02 - 06, 9:00 -12:15 pm) - $900Weeks 1 and 2 - $1500Week 1 Self Study (online access to tests and solutions only) - $400Week 2 Self Study (online access to tests and solutions only) - $400Week 1 and Week 2 Self Study (online access to tests and solutions only) - $800

4. Additional Information

How did you hear of us?

5. 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. Signups are subject to availability and assessment.
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 - Your signature below indicates compliance with Random Math winter camp regulations.

Parent or Guardian Signature

Date

Random Math Winter Camp - 2022-2023

Registration Form

1. Student Information

2. Parent Information

3. Camp Selection

4. Additional Information

5. Acknowledgement of Terms