Student Name * First Name Last Name Student Email * Student Grade * 2 3 4 5 6 7 8 9 10 11 12 Parent Name * First Name Last Name Parent Email * State of residence * Phone * (###) ### #### Note Pick a day * Classes will be from 6 to 7 PM Monday Tuesday Wednesday Thursday Friday Thank you for your interest in Algoscool’s class. We will get back to you as soon as possible.