EmailMe Form - Mathnasium of Springfield

Choose either: *

$100 off assessment

2 Free Visits

Assessment - We use our unique assessment process to determine exactly what each child knows and what they need help with. Next, we design a customized learning plan for teaching the concepts the student needs to master. No obligation assessment takes 60-90 minutes to perform the assessment. Then we set up a time for the family to review the results with Mathnasium.

Free Trial - 2 one hour sessions to give students a sampling of our regular program teaching method and environment. This allows them to learn about us, and us to get to know your child.

Name of Guardian *

First Last

Relationship to student? *

How did you hear about Mathnasium? *

Please tell us a little more about your child's relationship with math?

Choose all that apply *

Is doing well in math, looking for support.

Have struggled with math for more than a year.

Just started struggling this year.

Struggles with homework.

Struggles with math tests.

Lacks confidence in math capabilities

Teacher recommended additional help

Needs to prepare for standardized testing (ACT / SAT)

Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Email *

Phone *

### - ### - ####

Name or primary student *

Birthday of student *

School (if attending - for homeschool enter HS) and grade last completed. *

Important information our staff should know about your child? Particular areas of struggle, special concerns, medical conditions, or learning disorders. *