Math Circle Registration Form

Name of Student(s), grade(s), age(s): New to the program:    yes / no

 

 

Name, address, e-mail and phone number of each parent or guardian. Please Print.

 

Please number, in order of preference, sessions you could attend:

Day (Place) Time Age Group Order of Preference Tuition (not refundable)
Tuesday (Harvard) 3:05 - 4:00 4 – 5 yr olds    $225
Tuesday (Harvard) 4:05 – 5:00 5 – 6 yr olds    $225
Tuesday (Harvard) 4:05 – 5:00 6 – 7 yr olds    $225
Tuesday (Harvard) 4:05 – 5:00 7 – 8 yr olds    $225
Tuesday (Harvard) 4:05 – 5:00 7 – 9 yr olds    $225
Tuesday (Harvard) 4:05 – 5:00 8 – 10 yr olds    $225
Tuesday (Harvard) 5:05 – 6:00 7 – 9 yr olds    $225
Tuesday (Harvard) 5:05 – 6:00 8 – 10 yr olds    $225
Tuesday (Harvard) 5:05 – 6:00 10 – 12 yr olds    $225
Tuesday (Harvard) 5:05 – 6:00 12 – 15 yr olds    $225
Wednesday (Harvard) 5:05 – 6:00 7 – 9 yr olds    $225
Wednesday (Harvard) 5:05 – 6:00 10 – 12 yr olds    $225
Thursday (Harvard) 5:05 – 6:00 8 – 10 yr olds    $225
Sunday Sessions (Northeastern Univ.) 9:00 – 12:00 13 – 18 yr olds    $450

 

Please support the Math Circle’s fundraising campaign. We are non-profit and contributions made beyond the tuition fee are tax deductible. Thank you.

Donation amount ___________________________________

Please return this registration form and payment to:

The Math Circle
27 East St.
Southampton, MA 01073

www.themathcircle.org
mathcircle@math.harvard.edu

Well-behaved parents are welcome to attend, with permission of their children. For further information please e-mail mathcircle@math.harvard.edu.