Student Information

School Name *

Student's Grade *
Select Grade1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade9th Grade10th Grade11th Grade12th GradeCollege or University Math

Subject(s) Interested In

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

Parent / Guardian Information

Address *

Parent Agreement & Signature

Please read and check each agreement below before submitting the enrollment form.

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.

Registration and processing fees are $59 per student. Monthly tuition is due in advance on the 1st day of the month. Registration fee and monthly tuition are non-refundable.

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 to be fun and safe for everyone.

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

Student Signature *

Date *