Trial/Class Assessment Registration Form

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Math
Club
Events
About
Contact

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Free Trial/Assessment Registration Form

Student Name *

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Last

Student Date of Birth *

Phone *

Email *

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Current skill level *

Location *

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Wed
Fri
Sat

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5:30 PM

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3:30 PM
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Unit #108, 20486 64 Ave, Langley, BC V2Y 1N4.
(778) 558 3796
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Home
Lessons
Math
Events
About Us
Contact Us

Home
Lessons
Math
Events
About Us
Contact Us

Student Name *

First

Last

Student Date of Birth *

Phone *

Email *

Select a Trial Batch *

Current skill level *

Location *

Select The Trial Date *

Select the day

Mon
Wed
Fri
Sat

Select the time

4:00 PM

Select the time

5:30 PM

Select the time

3:30 PM
4:30 PM

Select the time

11:00 AM
12:00 PM

How did you hear about us? *

Expectations from the trial/ assessment session/ any other comments? *