Please use this form to register for our classes Before registering, please refer to our school policy here. To find out more about our teachers, click here. Class Registration - Fall 2017 Note: If your preferred time-slot is not available, please fill in our waitlist form.Please select the class to register*Please fill in one form for each sibling. Thanks!Kindergarten Tuesdays, 4:00pm-5:00pm (5 spots left)Kindergarten Saturdays, 10:30am-11:30am (6 spots left)1ST GRADE Tuesdays, 5:00pm-6:30pm (3 spots left)1ST GRADE Saturdays, 9:00am-10:30am (2 spots left)2ND GRADE Mondays, 4.00pm-5:30pm (3 spots left)2ND GRADE Saturdays, 11:30am-1:00pm (3 spots left)3RD GRADE Thursdays, 1:30pm to 3:00pm (3 spots left)3RD GRADE Fridays, 4:00pm-5:30pm (1 spots left)3RD GRADE Saturdays, 1:00pm-2:30pm (5 spots left)4TH GRADE Thursdays, 4:30pm-6:00pm (0 spots left)4TH GRADE Saturdays, 2:30pm-4:00pm (2 spots left)5TH GRADE Mondays, 5:30pm-7:00pm (3 spots left)5TH GRADE Thursdays, 3:00pm-4:30pm (2 spots left)5TH GRADE Fridays, 5:30pm-7:00pm (Math Team) (0 spots left)6TH GRADE Wednesdays, 3:30pm-5:00pm (4 spots left)7TH GRADE Wednesdays, 5:00pm-6:30pm (2 spots left)7TH GRADE Sundays, 10:30am-12:00pm (6 spots left)8TH GRADE Wednesdays, 6:30pm-8:00pm (4 spots left)ParticularsStudent's Name* First Last Student's Date of Birth* malefemaleParent's Name First Last Parent's Email* Address* Street Address Address Line 2 City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Emergency Contact* First Last Emergency Contact's Phone Number*Additional RemarksDo 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?Currently Using Singapore Math? Check this box if your child is currently using Singapore Math textbooks in school, e.g. Math-In-Focus, Primary Mathematics. Where did you hear about us?Please read our school policy.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. I accept to the agreement and school policy.