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)Specialized Math ProgramsCoding

Student 1 Math Options

Math Course *

Math Package *
Elementary-Middle-Math - $149/month (First Student)Elementary-Middle-Math - $139/month (Second Subject Family Discount)High-School-Math - $159/month (First Student)High-School-Math - $149/month (Second Subject Family Discount)

Student 1 ELA Reading & Writing Options

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

Student 1 Specialized Math Programs

Select one specialized program.

Specialized Math Package *

ACT Math - $169/month (Twice a Week)SAT Math - $169/month (Confirm Class Schedule with UMA)Special Needs Math: Private 1-on-1 - $279/month (Twice a Week)Private Mentoring / College / Advanced Math / Sciences - $279/month (Once a Week)

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)Specialized Math ProgramsCoding

Student 2 Math Options

Math Course *

Math Package *
Elementary-Middle-Math - $139/month (Family Discount)High-School-Math - $149/month (Family Discount)

Student 2 ELA Reading & Writing Options

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

Student 2 Specialized Math Programs

Select one specialized program.

Specialized Math Package *

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)Specialized Math ProgramsCoding

Student 3 Math Options

Math Course *

Math Package *
Elementary-Middle-Math - $139/month (Family Discount)High-School-Math - $149/month (Family Discount)

Student 3 ELA Reading & Writing Options

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

Student 3 Specialized Math Programs

Select one specialized program.

Specialized Math Package *

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)Specialized Math ProgramsCoding

Student 4 Math Options

Math Course *

Math Package *
Elementary-Middle-Math - $139/month (Family Discount)High-School-Math - $149/month (Family Discount)

Student 4 ELA Reading & Writing Options

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

Student 4 Specialized Math Programs

Select one specialized program.

Specialized Math Package *

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: Complete your registration payment before submitting the 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

ማሳሰቢያ ለወላጆች፡

ክፍያውን ከፈጸሙ በኋላ፣ እባክዎ የክፍያ ማረጋገጫ ቁጥሩን (Authorization Approval Code) ከታች ባለው ክፍት ቦታ ላይ አስገብተው ማረጋገጥዎን (Submit ማድረግዎን) አይዘንጉ። ክፍያዎ ተቀባይነት እንዲያገኝ ይህን ኮድ ማስገባት ይጠበቅብዎታል።

Notice to Parents:

After completing your payment, please do not forget to enter your Authorization Approval Code in the field below and click "Submit". Submitting this code is required to approve your payment.

Authorization Approval Code *

I confirm that I have completed the required registration fee payment and entered the correct authorization or confirmation code.

Important: Your enrollment cannot be finalized until the form and payment have been submitted and the payment has been verified by Utopia Math Academy.

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.