Minuteman Math Circle Fall 2009 Registration

The Minuteman Math Circle will offer a six-week session starting September 29, 2009. Class dates: September 29, October 6, 13, 20, 27 and November 6.

Classes meet on Tuesdays at 5pm at St. Matthew’s on Central Street in Acton.

To register your child for this class, please fill out this form and send it with payment to:

Minuteman Math Circle

130 Flagg Hill Rd

Boxborough, MA 01719

Tuition is $90 per student for the 6-week session. Please make checks payable to Ellen Hickey.

Student’s Name

Grade

Age

Parent or Guardian

Address

Home Phone

Other Phone

Email

Emergency Contact*

Name and Phone

* Parents are responsible for transporting their children to and from the meeting location. The

Minuteman Math Circle will not be responsible for children before or after their class time. Please

be prompt in meeting your child. Well-behaved parents are welcome to watch the class while

in session.

Comments (other times that may work for your schedule, why your child is interested in this class,

something you would like to share):