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Mathnasium of South Jordan
No obligation Assessment or Free Trial
Choose either - We will call to confirm the appointment within 24 hours
Assessment - We use our unique assessment process to determine (with great accuracy) exactly what each child knows and what they need to learn. Next, we design a customized learning plan for teaching the concepts the student needs to master. No obligation assessment takes 60-90 minutes
Free Trial - a one hour session to give students a sampling of our teaching method and environment (THIS OPTION IS FOR 1ST - 8TH GRADES ONLY)
Please choose No Obligation Assessment OR Free Trial
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No-Risk Assessment
Free Trial Session
Former Family?
One or more of my children have previously been enrolled in a regular Mathnasium monthly program or summer program.
Parent/Guardian Name
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Relationship to Student
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Phone
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Seconday Phone
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Email
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Preferred date for assessment or free trial.
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MM
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Assessments and free trials are given:
Monday - Thursday at 3:00, 3:30, 4:00, 4:30, 5:00, 5:30, 6:00 or 6:30
Saturday at 9:00, 9:30, 10:00 or 10:30
Preferred time for assessment or free trial.
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9:00 AM
9:30 AM
10:00 AM
10:30 AM
3:00 PM
3:30 PM
4:00 PM
4:30 PM
5:00 PM
5:30 PM
6:00 PM
6:30 PM
Please allow a block of 60 - 90 minutes (i.e. an appointment at 9:00 am will last until 10:00 or 10:30 am)
Student 1 Information
STUDENT 1: Name of Primary Student (Oldest siblng)
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Student 1 Birthdate
MM
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DD
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Student 1: Name of School student is currently attending
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STUDENT 1: Grade student is in for 2019/2020 school year.
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K
1
2
3
4
5
6
7
8
9
10
11
12
College
Student 1: Please check all the apply for the reason you are contacting Mathnasium.
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Fill in foundational gaps in math
Improve confidence in math
Be challenged and get ahead in math
Prepare for next grade math class
Prepare for ACT/SAT
Help with homework
Improve ACT/SAT score
Pass an entrance exam
Learn to enjoy math
Develop better study habits
STUDENT 1: Any other background information we should know about?
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Student 2 Information
STUDENT 2: Name of Younger Sibling Student (Child 2 if applicable)
Student 2 Birthdate
MM
/
DD
/
YYYY
Student 2: Name of School student is currently attending
STUDENT 2: Grade student is in for 2019/2020 school year.
K
1
2
3
4
5
6
7
8
9
10
11
12
College
Student 2: Please check all the apply for the reason you are contacting Mathnasium.
Fill in foundational gaps in math
Improve confidence in math
Be challenged and get ahead in math
Prepare for next grade math class
Prepare for ACT/SAT
Help with homework
Improve ACT/SAT score
Pass an entrance exam
Learn to enjoy math
Develop better study habits
STUDENT 2: Any other background information we should know about?
Student 3 Information
STUDENT 3: Name of Younger Sibling Student (Child 3 if applicable)
Student 3 Birthdate
MM
/
DD
/
YYYY
Student 3: Name of School student is currently attending
STUDENT 3: Grade student is in for 2019/2020 school year.
K
1
2
3
4
5
6
7
8
9
10
11
12
College
Student 3: Please check all the apply for the reason you are contacting Mathnasium.
Fill in foundational gaps in math
Improve confidence in math
Be challenged and get ahead in math
Prepare for next grade math class
Prepare for ACT/SAT
Help with homework
Improve ACT/SAT score
Pass an entrance exam
Learn to enjoy math
Develop better study habits
STUDENT 3: Any other background information we should know about?
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