Consent Form       Return

Math Track Sign-Up Form

NAME OF STUDENT_______________________________________________________

AGE OF STUDENT______________     GRADE________

MATH CLASS__________        Hour of math class______ TEACHER___________

INSTRUCTOR IN CHARGE      T. Thierfelder                                                                       .

TYPE OF ACTIVITY MATH  MEET  AT  Hartford High school     

DATE OF ACTIVITY          Wednesday,  Ocotober 19th,  2011                                                    

TIME OF MEET         4 p.m.            .EXPECTED TIME OF CONCLUSION    5:30 p.m.

Return this form by Wednesday, October 12th