Please use this form to register for our classes Before registering, please refer to our school policy here. Student's Full Name (required) Student's Class Choice (required) KINDERGARTEN, Monday 4:00pm-5:00pmKINDERGARTEN, Saturday 9:00pm-10:00pm1ST GRADE, Monday 5:00pm-6:30pm1ST GRADE, Saturday 10:00am-11:30am2ND GRADE, Friday 4:00pm-5:30pm2ND GRADE, Saturday 11:30am-1:00pm2ND GRADE, Saturday 2:30am-4:00pm3RD GRADE, Tuesday 4:00pm-5:30pm3RD GRADE, Saturday 1:00pm-2:30pm4TH GRADE, Tuesday 5:30pm-7:00pm4TH GRADE, Friday 5:30pm-7:00pm5TH GRADE, Wednesday 4.00pm-5:30pm6TH GRADE, Thursday 4:00pm-5:30pm6TH GRADE, Thursday 5:30pm-7:00pm7TH GRADE, Wednesday 5:30pm-7:00pm8TH GRADE, Thursday 5:30pm-7:00pm Student's date of birth (required) malefemale Parent's First Name (required) Parent's Last Name (required) Parent's Email (required) Parent's Tel (required) Address (required) Address2 City (required) State (required) ZIP (required) Emergency Contact's Name (required) Emergency Contact's Tel (required) Do you have any specific concerns? Is there anything that you'd like to let us know to ensure a better learning experience for your child? Is your child currently using Singapore Math-In-Focus in school? ---YesNo Where did you hear about us? CONSENT AND RELEASE AGREEMENT: This is a Consent and Release of Rights in favor of Teachable Solutions, LLC. (DBA Lexington Singapore School). This includes any program, class, or event held at the Lexington Singapore School site or off-premise. In consideration for my/minor’s participation in the activity; LIABILITY RELEASE I release and hold harmless “Teachable Solutions, LLC”, its Board of Trustees, agents, officers, and/or employees from any and all claims, demands, causes of action or damage which may accrue on account of bodily or personal injury, property damage or death suffered by my child arising out of his/her participation in “Teachable Solutions, LLC” programs. I hereby assume any and all risks attendant to my child’s participation in “Teachable Solutions, LLC” programs. RELEASE PICTURE / VIDEO INFORMATION I hereby give permission for my child’s photograph and video to be taken in connection with activities of the “Teachable Solutions, LLC”. I agree to allow the “Teachable Solutions, LLC” to release, for educational purposes, photographs and video recordings, with or without audio, of program activities and projects involving the students and my child. I understand that “Teachable Solutions, LLC” will not print a minor’s name with his/her picture. MEDICAL RELEASE I hereby grant permission to “Teachable Solutions, LLC” program staff, and authorized personnel to perform or acquire necessary medical, surgical, and/or dental services for my child in case of emergency. It is understood that in case of emergency, the staff will attempt to contact a parent/guardian immediately. If this is not possible or reasonable, this consent authorizes medical facility personnel to begin treatment without parental consent. I certify that I have read and understand the above consent. Check here to accept this agreement and our school policy.