Contact us – UTOPIA MATH Academy

UTOPIA MATH Academy Enrollment Form

Please complete the form below. After submission, our team will review your enrollment and contact you shortly.

How Many Students Are You Registering?

Number of Students *

Student 1 Information

Student's First Name *

Student's Last Name *

School Name *

Student's Grade *

Student 1 Subject(s)

Choose one or more subjects *
MathELA (English Language Arts)Coding

Student 1 Math Options

Math Course *

Math Package *
Elementary-Middle-Math – $149/month (First Student)Elementary-Middle-Math – $139/month (Second Student/Second Subject Family Discount)High-School-Math – $159/month (First Student)High-School-Math – $149/month (Second Subject Family Discount)ACT-Math – $169/month twice a weekSpecial Needs Math: 1-on-1 Tutoring – $279/month/twice a weekPrivate 1-on-1 Mentoring/College/Advanced Math/Sciences – $179/month/once a week

Student 1 ELA Reading & Writing Options

ELA Package *
ELA Reading & Writing – $149/month (First Student)ELA Reading & Writing – $139/month (Second Student/Second Subject Family Discount)

Student 1 Coding Options

Coding Package *
Coding Scratch – $159/month (Elementary Students)Coding Python – $159/month (Middle School Students)Coding AI – $159/month (High School Students)Computer Basic Skills for Adults – $159/month

Student 2 Information

Student's First Name *

Student's Last Name *

School Name *

Student's Grade *

Student 2 Subject(s)

Choose one or more subjects *
MathELA (English Language Arts)Coding

Student 2 Math Options

Math Course *

Math Package *
Elementary-Middle-Math – $139/month (Family Discount)High-School-Math – $149/month (Family Discount)ACT-Math – $169/month twice a weekSpecial Needs Math: 1-on-1 Tutoring – $279/month/twice a weekPrivate 1-on-1 Mentoring/College/Advanced Math/Sciences – $179/month/once a week

Student 2 ELA Reading & Writing Options

ELA Package *
ELA Reading & Writing – $139/month (Family Discount)

Student 2 Coding Options

Student 3 Information

Student's First Name *

Student's Last Name *

School Name *

Student's Grade *

Student 3 Subject(s)

Choose one or more subjects *
MathELA (English Language Arts)Coding

Student 3 Math Options

Math Course *

Student 3 ELA Reading & Writing Options

ELA Package *
ELA Reading & Writing – $139/month (Family Discount)

Student 3 Coding Options

Student 4 Information

Student's First Name *

Student's Last Name *

School Name *

Student's Grade *

Student 4 Subject(s)

Choose one or more subjects *
MathELA (English Language Arts)Coding

Student 4 Math Options

Math Course *

Student 4 ELA Reading & Writing Options

ELA Package *
ELA Reading & Writing – $139/month (Family Discount)

Student 4 Coding Options

Parent / Guardian Information

Parent's First Name *

Parent's Last Name *

Parent's Email *

Phone *

Address *

City *

State *

Zip Code *

Parent Agreement & Signature

Please read and check each agreement below before continuing to payment.

I have read and understand the UTOPIA MATH Academy enrollment packages, and I will support and maintain a learning environment that is safe and fun for all students.

I understand the Utopia Math Academy expectations and consequences.

I understand that I can request to cancel enrollment at any time. Parents and/or Adult Students must submit a cancellation request in writing, either by text or email, at least 30 days before the last desired date of attendance.

I understand that the registration and processing fee is $59 for one student, $108 for two students, and $167 for three or more students. Monthly tuition is due in advance on the 1st day of each month. Registration fees and monthly tuition are non-refundable.

I understand and authorize Utopia Math Academy to use the payment information provided during registration to establish automatic monthly tuition payments according to my enrollment selection.

I agree to pay a $29 late fee if my automatic payment does not process for any reason.

Parent Signature *

Place your signature in the box below. Use the clear button if needed.

Date *

Student Agreement & Signature

The student must read and check each agreement below.

I will manage my behavior in a way that helps the instructor maintain a fun and safe learning environment for everyone.

I understand that I will attend twice a week for one hour each day.

Student Signature *

Date *

Registration Payment

Final Step: Please complete the required registration payment before submitting your enrollment form.

Your registration fee is based on the number of students selected:

1 Student: $59

2 Students: $108

3 or 4 Students: $167

Registration Fee: 1 Student – $59

Pay $59 Registration Fee

Registration Fee: 2 Students – $108

Pay $108 Registration Fee

Registration Fee: 3 or 4 Students – $167

Pay $167 Registration Fee

Payment Reference / Confirmation Number *

I confirm that I have completed the required registration fee payment before submitting this enrollment form.

Your enrollment is not complete until both the enrollment form and the required registration fee payment are completed.

For further questions, Use the following contact address

UTOPIA MATH Academy

Ayanaw Hagos

Phone:+1 615-779-2210

Email: ayunetwork@utopiamath.com

EXPECTATIONS

STUDENTS are expected to arrive on time and prepared to learn. Students are expected to focus on their assignments and work collaboratively with their instructor and virtual classmates. Students are expected to listen to directions and support a fun, safe, and respectful learning environment. Students are expected to use their time wisely and avoid distractions. Failure to follow directions will lead to discussion with parent or, if three needs to improve notes are sent home, expulsion from the program.

PARENTS AND GUARDIANS are expected to monitor their children to make sure that their children complete the assignment on time and email the assignment completion on time. Parents and guardians are expected to communicate any comments or concerns to Ayanaw in a timely manner.