NYMC - Registration

Registration for "MSA+"

When:

Saturdays 10am - 12pm
1/9, 1/16, 1/23, 1/30, 2/6,~~2/13~~,~~2/20~~,2/27,3/6, 3/13,~~3/20~~,~~3/27~~,~~4/3~~,4/10,4/17

Where:

Online.

Instructor:

Maggie Feurtado.

Registration fee:

$345. (Fee may be reduced based on financial need; see FAQ).

This registration is for the waiting list only. We will email you if a spot opens up.

Parental consent is required.

Required fields are bold.

Student's name:	First	Last
E-mail address:	Phone:
Zip Code:
School:
Grade:	(as of Spring 2021) 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?