Registration Form — Eastside Education

2024-2025 Class Registration Form

Your seat will be secured once we received your payment.

Payment instructions:

- Zelle, Bank Pay/Transfer, or Venmo to eastsideeduwa@gmail.com

Workshop Registration Form

Today's Date

MM

DD

YYYY

Workshop (online)

AMC10/12 Sun 11/3/2024 @9am-3pm $150

AMC 8 Mon 1/20/2025 @9am-3pm $150

Student's Name

First Name

Last Name

Student's Email Address

Student's Phone #

(###)

###

####

School

Grade

Parent's Name

First Name

Last Name

Parent's Email Address

Parent's Phone 1

(###)

###

####

Parent's Phone 2

(###)

###

####

Home Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Message

Method of Payment

Zelle, Bank Pay/Transfer, Venmo

Other

Your seat will be secured once we received your payment. No refund after payment has been made.

Payment instructions:

- Zelle, Bank Pay/Transfer, or Venmo, payable to eastsideeduwa@gmail.com

2024 Summer Class Registration Form

Today's Date

MM

DD

YYYY

Online Class (10 sessions)

SAT English Prep 6/24-8/26, Mon @7-8:30pm $670

AMC8 stretch 6/26-8/28, Wed @7-8:30pm $540

AMC10 stretch: 6/27-8/29, Thu @7:30-9:00pm $540

AMC12 stretch: 6/24-8/26, Mon @7-8:30pm $540

Student's Name

First Name

Last Name

School

Grade

Base on current school year

Math Level

For math class enroll only. Answer must be base on current school year record.

Parent's Name

First Name

Last Name

Parent's Email Address

Parent's Phone 1

(###)

###

####

Parent's Phone 2

(###)

###

####

Home Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Message

Your seat will be secured once we received your payment.

Payment instructions:

- Zelle, Bank Pay/Transfer, or Venmo to eastsideeduwa@gmail.com

2024-2025 Class Registration Form

Private Tutoring Request Form

Workshop Registration Form

2024 Summer Class Registration Form

AMC 8/10/12, AIME, and PhysicsBowl Contest Registration Form