MathAltitude, LLC  *  35 Harvard St. Suite 211, Worcester, MA 01609  *  (860) 37-LEARN (375-3276)

Copyright 2011 - 2017

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(860)-37-LEARN (375-3276)

Enrollment is open for 2017-2018 School Year

Small classes are filling fast. Register now to reserve your seat

You can submit your secure on-line registration electronically by clicking “Submit Application” button below

or

you can print filled form by clicking “Print” button and mail or deliver it to us in person.

Please note that we will never share, sell or distribute in any other way your personal information.

(enter your initials)

Noetic Learning Math Contest (November 9, 2017)

AMC-8 Contest (November 14, 2017)

Please register my child for:

MathKangaroo registration must be completed at www.MathKangaroo.org. When registering, select MathAltitude as

test location. Math Kangaroo registration fees are paid online at the time of registration.

Student Drop-off and Pick-up Policy.

  1. All students shall be dropped off and picked up from the school premises by their parent or legal guardian.
  2. At no time, students will be permitted to leave the school premises without an adult supervision.
  3. Please inform the staff if your child is carpooling with another parent.
  4. All students must be picked-up within 15 minutes after the end of the contest. Students can not stay at school

         after the competition even if there are members of staff present.

By submitting this application, I agree to the payment terms listed above and to follow MathAltitude Student

authorize,

I

do not authorize MathAltitude to use still photos or video of my child for

Noetic Workshops:

(registration open)

MathKangaroo Workshops:

(registration open)

ACT Workshops:

(registration open)

My child will attend the following workshops:

Fees:

Contest fee $5 except for Math Kangaroo and is waived for students enrolled in MathAltitude program.  

Single AMC-8, Noetic and Math Kangaroo workshop fee is $5 for MathAltitude students and $25 for all others

SAT worshop fee is $15 for MathAltitude students and $35 for all other students.

Fees are to be paid by cash, personal check or debit/credit card (small debit/credit card processing fee applies). The

number of Contest and Workshop seats is limited and the seats are reserved on the first come, first served basis. The seat for your child will not be reserved until the payment is received.

Payments are non-refundable for any reason. Make-ups will be offered for any weather related cancelations or

cancelations due to teacher absence.

Drop-off and Pick-up Policy

publicity purposes.

Student Information

First Name

M.I.

Last Name

Gender

DOB

School Attending

Grade

Parent’s Information

Home Address

City

Home Phone

ZIP

Parent Name

Cell/Work Phone

Contact E-mail

Refered by

Magazine/newspaper

How did you find out about MathAltitude?   From a friend

Other (please indicate)

Internet

10/22/2017

10/29/2017

11/05/2017

10/22/2017

10/29/2017

11/05/2017

01/28/2018

02/04/2018

02/11/2018

02/18/2018

03/04/2018

03/11/2018

12/03/2017

12/10/2017

12/17/2017

01/07/2018

01/14/2018

01/21/2018

AMC-8 Workshops:

(registration open)