Registration - All Around Math and Reading Learning Center

REGISTRATION

All information listed here with a * is required to be filled in!

Camp Information:

Add Camp

Make sure you've selected all camps before continuing registration!

Student's Information:
First Name *:
Last Name *:
Gender *:
Age *:
Birthday *:
School *:
Grade Completed As of Spring 2010 *:
Address *:
City *:
Zip *:
Home Phone *:

Responsible Party Information:
First Name *:
Last Name *:
Relation to Student *:
Address *:
City *:
Zip *:
Home Phone *:
Email *:

Emergency Contact Information:
First Name *:
Last Name *:
Relation to Student *:
Home Phone *:
Cell Phone *:
Work Phone *:

Student Release:

Students attending the Summer Camps will only be released to the responsible party stated above unless permission is given for other parties. Please list any person, or persons, below that have permission to pick up your child.

First and Last Name of Responsible Party #1:
First and Last Name of Responsible Party #2:

Picture Release:
* May we use your child's picture in our promotional material?

* How did you hear about us? (Please check one)

Newsletter:
* Occasionally we send a newsletter about upcoming events and offers from All Around Math. May we email you this newsletter?

Payment:
* Payment Method

* Note: Those who are paying in Cash and Check must pay their dues in full, within 24 hours of submitting this application. You may pay your tuition online with your credit card through a secure PayPal transaction. If payment is not received within 24 hours, you will automatically be unregistered from the classes you have selected. Please call 480-833-7338 if you need an extension or additional information.

Tuition: $195 / half-day weekly camp, or $375 / full-day weekly camp.
Tuition is non-refundable, but date changes are allowed based on availability.

Current tuition due: $0

To verify that you are human please type in verification code:
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All information that you are submitting will be kept confidential, and will not be given or sold to any third party.

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Disclaimer: All Around Math Learning Centerâ??s website is designed for informational purposes about All Around Math Learning Center only. The site is in no manner intended for diagnosis, nor treatment of any sort for anyone. For more information about our programs, please contact us.