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Bridge to Elementary
3rd and 4th grade (as of fall 2010)
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Summer Geometry Exploration
6th - 10th grade (as of fall 2010)
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Bridge to Middle School
5th and 6th grade (as of fall 2010)
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GATE/Enrichment Challenge
4th - 6th grade (as of fall 2010)
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Bridge to Pre-Algebra & Algebra
7th and 8th grade (as of fall 2010)
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GATE/Enrichment Challenge
8th - 10th grade (as of fall 2010)
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Beyond Algebra I
9th - 11th grade (as of fall 2010)
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CAHSEE Math Prep
9th – 12th
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Beyond Algebra II
10th - 12th grade (as of fall 2010)
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Fee enclosed: $435 (by June 1)________ $495________Late Registration:__________________
Student Name M/F School Grade in fall 2010
How did you hear about us?__________________________________________________________________
Parent/Guardian Name Work # Cell#
Parent/Guardian Name Work # Cell#
Address
Home#: _________________Email address:
Emergency Information
Alternate emergency contact(s)/ph#__________________________________________________________
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Media Release
I consent to have my/our child, be photographed for displays on site and/or for public relations for SurferMath. I understand that there will be no compensation for such displays and public relations pictures.
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Parent signature date