Re-enroll in Mathletics.
This form is only for current 4th graders who are RETURNING to Mathletics as 5th graders in Fall 2018.
Student First Name
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Student Last Name
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Student Gender
Male
Female
Grade level, Fall 2018
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5th grade
School
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Please Select
Barrett Elementary
Charter School of Morgan Hill
El Toro Elementary
Jackson Math and Music Academy
Los Paseos Elementary
Nordstrom Elementary
Paradise Valley Engineering Academy
San Martin/Gwinn Elementary
Walsh Elementary
Homeschooled
Other
If "Other", specify name of school here. If changing schools, please note current school above and name of new school in this comment field.
Which Mathletics teacher did your child have in Fall of 2017?
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Mrs. Dicker, Room 4
Mrs. Vandecouvering, Room 21
Mrs. Oliver, Room 19
Mrs. Mains, Room 15
Ms. Canning, Room 12
Mrs. Miles, Room 9
I don't remember
Parent First Name
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Parent Last Name
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Parent email
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To list more than one email, type multiple email addressed separated by a semi-colon.
Contact Phone Number
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Additional Phone Number
If there is any special information that we should know about your child in the event of a medical emergency (drug allergies, etc), please list it here.
We sometimes take photos or videos to use on our website, promotional materials or media announcements. We do not associate student names with these photos. Do we have your permission to take/use classroom photos of your student?
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Yes
No. (Note: your student will not be included in the class picture.)
I understand that classes for 5th graders will be held once a week, on Tuesdays, from 3:15-4:30pm at Barrett Elementary School, starting on Sept. 4th and continuing for 8 weeks. Barring sickness or school field trips, my child will be able to attend all 8 classes.
Yes
No
Comments (optional):
Re-enroll me!
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