Eastside Education

Today's Date *

MM

DD

YYYY

Term *

Fall Semester 9/5/2023-1/26/2024 (online class)

Spring Semester 1/29/2024 - 6/14/2024 (online class)

Class *

18 sessions/class/semester

AIME Math - Mon 7:00-8:30 pm $960

AMC8 Math - Tue 6:00-7:30 pm $960

AMC8/10 Math - Wed 6:30-8 pm $960

AMC10/12 Math - Thu 7:30-9:00 pm $960

Fundamental English for SAT/ACT Mon 7-8:30 pm $1200

SAT English Prep - Thu 7-8:30 pm $1200

Assessment test fee - $50

Student's Name *

First Name

Last Name

Parent's Name *

First Name

Last Name

Parent's Phone 1 *

(###)

###

####

Parent's Phone 2

(###)

###

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Home Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Method of Payment

Zelle, Bank Pay/Transfer, Venmo

Other