Please fill out the following form to sign up for a course

This sign-up secures your spot in the course.

Please email quametric@gmail.com immediately if you need to cancel.

Our courses have a maximum of 16 students, so please be considerate and do not reserve a spot that you will not use.

PAYMENTS MAY BE MADE on the first day of class via check (made to Quametric), credit card, or cash.

Parent Name

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Last Name

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Student Name

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Last Name

Student Email Address

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School

Grade Level in Fall 2018

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Course