Enrollment Application

Please tell us a little bit about your child and your goals for the program. We will then reach out to schedule a free evaluation. Thank you for your interest in Squared School.

Student Name

First Name

Last Name

Age

Current School Grade

Current School

Math Proficiency

Your Child's Level of Interest in Math

Which program are you interested in?

What is your objective for this program?

What supplementary math education is your child receiving now?

Tutoring

Books

Online Program

Other

If other, please specify

What after-school activities is your child involved in? Please list all.

Primary Guardian's Name

First Name

Last Name

Email

Phone Number

(###)

###

####

Secondary Guardian's Name

First Name

Last Name

Email

Phone Number

(###)

###

####

How did you hear about us?