Spring 2016 MATHrive™ Enrich Workshop Registration

Workshops are Wednesdays in March, April (Wednesday 4/20 skipped due to a half day), and May from 2:55-4:00 at Mitchell Elementary for 1st and 2nd graders.

Dates: March 30; April 6, 13, 27; May 4, 11

Please also note that these workshops are for students who are at or above grade level in math.

Cost is $96/student (if payment is by check)
Cost is $99/student (if payment is by credit card)

Parent/Guardian Name(s):*
Address*
Street Address City State ZIP Code
Phone 1*
Phone 2
Email*
Emergency Contact Information
Emergency Contact Name*
Emergency Phone Number*
1st Student Information
1st Student Name*
1st Student Gender*
1st Student Grade*
1st Student Teacher
1st Student Will Be Picked Up By*
2nd Student Information
2nd Student Name
2nd Student Gender
2nd Student Grade
2nd Student Teacher
2nd Student Will Be Picked Up By
Other Important Information
Parent Permission*
By selecting "I GIVE PERMISSION" above, and typing your name and date below, you give permission for your child(ren) to participate in workshops offered by Golden Tutoring and Enrichment, LLC. You understand that appropriate safety precautions will be used during workshops. You also understand that you are responsible for the prompt pickup of your child(ren). You also understand that there are no refunds after the first workshop.
Parent/Gaurdian Signature*
Please type your name above.
Today's Date*
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Payment Information
Note that registration is not guaranteed until we receive payment. We will email a confirmation of your registration.
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Enrich Registration

Enrich Registration

Spring 2016 MATHrive™ Enrich Workshop Registration

Emergency Contact Information

1st Student Information

2nd Student Information

Other Important Information

Payment Information