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REGISTRATION FORM FOR THE MATHEMATICS DEPARTMENT CLUBS – PRESIDENT’S

COLLEGE 2018 - 2019

1. NAME: _________________________________________________________________

2. DATE OF BIRTH: ________________________________________________________

3. CLUB OF INTEREST:

ROBOTICS (TUESDAY) SCRATCH (WEDNESDAY) MATH (THURSDAY)

__________________ ____________________ ________________

4. WOULD YOU BE WILLING TO PARTICIPATE IN COMPETITIONS AND OTHER CO –

CURRICULAR AND EXTRA – CURRICULAR ACTIVITIES RELATED TO THESE CLUBS?

YES NO

5. WOULD YOU BE WILLING TO GIVE A CLUB FEE OF $100 PER MONTH OR MAKE OTHER

DONATIONS OF STATIONERY FOR EXAMPLE?

YES NO

6. CLASS: ________________________________________________________________

7. TEACHER: _____________________________________________________________

8. HOW WOULD YOU DESCRIBE YOUR INTEREST FOR MATHEMATICS?

(A) VERY HIGH

(B) HIGH

(C) MODERATE

(D) LOW

(E) VERY LOW

Please Note: all regular club meetings are 12:30 to 13:00 hours but other irregular meetings can occur

after school hours, on weekends or even on holidays; would you be willing to participate in these

events?

Parent/Guardian Signature & Date: _______________________________________________________

Student’s Signature & Date: ____________________________________________________________