Registration Form For Math Dept Clubs.docx

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: ____________________________________________________________