Nigerian School of Mathematics General Registration

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This is the form we are using for our events in 2025 - Academic Coaching, Tutoring, ACT/SAT Prep & Math Tournaments

First Name:

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Last Name:

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Email (Student)

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Email (Parent):

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This address will receive a confirmation email

Emergency Contact (Phone):

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Grade Level:

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Please select one option.

PK K 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade 7th Grade 8th Grade 9th Grade 10th Grade 11th Grade 12th Grade College/Post High School

School

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Please select one option.

Homeschooled Traditional School (public) Traditional School (private)

Address:

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What are you interested in?

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Please select one option.

School Year (July 1st - June 30th) Small Group Tutoring One on One Tutoring Summer Program

Career Direction (for now - please type in the box below)

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Availability

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Please select all that apply.

Monday Tuesday Wednesday Thursday Friday Saturday

How did you hear about us?

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Please select all that apply.

Instagram Facebook LinkedIn Word of Mouth

Any Questions or Comments?

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Payment

School Year (July 1st - June 30th) ($1500) Small Group Tutoring ($3000) One one One Tutoring ($6000) Summer Program ($750) Custom

Amount

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

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