Class Registration Form

2025 Registration Form - Enrollment Opens February 1, 2025

To register please complete the following form or email Mrs. Perkins at myhomeschoolmathclass@gmail.com

* Indicates required field

Student Name *

First

Last

Student Email *

Grade for 2024-2025 School Year *

Parent Name *

First

Last

Student Date of Birth *

Parent Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Avialable Classes: Choose From *

Middle School Math Tues and Thurs 10 am Central Pre-Algebra Mon and Wed 1:30 pm Central Algebra 1 Mon and Wed 12:00 noon Central Geometry Mon and Wed 10:30 am Central Algebra 2 Mon and Wed 9am Central

Will you be using a charter/cover school for tuition payment? If so please give name in comment secction. *

No Yes

Referred by: *

Additional Comments or Questions *

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