NYMC - Registration

Registration for "MSA/MSA+"

When:

Sundays, 1 pm to 3 pm
9/24, 10/1, 10/8, 10/15, 10/22, 10/29, 11/5, 11/12, 11/19, 12/3

Where:

The Clinton School, 10 E15 St, Manhattan, NY (map). Room 408.

Instructor:

Jayson Vu.

Registration fee:

$395. (Fee may be reduced based on financial need; see FAQ).

Parental consent is required. If the cost presents a financial hardship for your family, you can request a fee reduction on the next page.

You will get a confirmation of your registration in the email, but note that your spot is not guaranteed until we receive payment. Payment methods will be shown on the next page.

Required fields are bold.

Student's name:	First	Last
E-mail address:	Phone:
Zip Code:
School:
Grade:	(as of Fall 2023) Gender: M F
How did you hear about us?
The student’s parent or legal guardian must read and fill out the portion below: I am giving permission for the student named above to attend classes at New York Math Circle. I acknowledge that I am aware of the nature of the program, and I assume all risks associated with participation. I also agree to take full responsibility for the student’s transportation to and from the site. I understand that students may have their participation terminated if they fail to observe reasonable rules of good conduct, or if they disrupt the learning of others. I also acknowledge that participation in NYMC is completely voluntary and will not result in academic credit. I confirm that I am the student's parent or legal guardian, and that I agree with the above.
Parent's name:	First	Last
E-mail address:	Phone:
In case of emergency, contact me at:
Any comments, or any special situations we need to know about?